Date: 24 July 1945
Cert: 15269
Place of Death: County: Knott City or
Town: Hindman
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman
Full Name: Rachel GAYHEART
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: John
Age of husband or wife if alive: 62 years
Birth date of deceased: 23 August 1892
Age: 53 years, 11 months, 01 days
Birthplace: Hindman, Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: L. C. SLOANE
Father Birthplace: Knott County
Mother Maiden Name: Susie THORNSBERRY
Mother Birthplace: Knott County
Informant: Bertha GAYHEART, Garner, Ky.
Burial Place: Hindman
Date: 26 July 1945
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 28 July 1945
Registrar's Signature: Rose B. Craft
Date of Death: 24 July 1945
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Died in Coma
Duration: (blank)
Due to: Diabetes
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman
Date signed: 27 July 1945
Transcribed by Debbie Tamborski, 27 November 2010 |