Date: 24 June 1951
Cert: 14592
Place of Death: County: Knott
City or Town: Tina
Length of stay (in this place): (blank)
Name of Hospital or Institution: None
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Tina Street
Address: on Ball Creek
Full Name: Mollie GAYHEART
Date of Death: 24 June 1951
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 12 April 1897
Age: 54 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Knott County, Ky.
Father's Name: Harve GRIGSBY
Mother's Maiden Name: Sally GRIGSBY
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Dewey GAYHEART
Disease or condition directly leading to death: Cancer of
Stomach
Interval between onset and death: 01 year
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 01 May 1950 to
24 June 1951, that I last saw the deceased alive on 29 May
1951, and
that death occurred at 11:50 p.m., from the causes and on the
date stated above.
Date signed: 04 July 1951
Address: Garrett, Ky.
Signature: Mark Dempsey, M.D.
Burial, Cremation or Removal: Burial
Date: 26 June 1951
Name of Cemetery or Crematory: Greenwood Cemetery
Location: Tina, Ky.
Date received by local registrar: 07 July 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Maggard and Garrett, Hazard,
Ky.
Transcribed by Debbie Tamborski, 19 January 2011 |