DEATH CERTIFICATE

(Not Named) GAYHEART

Date:  29 September 1949
Cert:  21238 
Place of Death: County: Knott      City or Town: Hindman Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution:  None
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Hindman Rural      Street Address: (blank)
Full Name:  (Not Named) GAYHEART
Date of Death:  29 September 1949
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  29 September 1949
Age:  15 minutes
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace:  Hindman, Ky.  Rural
Father's Name:  Sid GAYHEART
Mother's Maiden Name:  Diana HALL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Sid GAYHEART
Disease/condition directly leading to death: Congestion of the lungs
Interval between onset and death:  (blank)
Due to:  undeveloped growth
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 29 September 1949 to 29 September 1949, that I last saw the deceased alive on 29 September 1949, and that death occurred at 2:15 a.m., from the causes and on the date stated above.
Date signed:  15 October 1949
Address:  Hindman, Ky.
Signature:  M. F. Kelley, M.D.
Burial, Cremation or Removal:  Burial
Date:  29 September 1949
Name of Cemetery or Crematory:  Family Cem.
Location:  Leburn, Knott, Ky.
Date received by local registrar:  15 October 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Family & Friends, Hindman, Ky.
Transcribed by Debbie Tamborski, 04 January 2011