DEATH CERTIFICATE

THOMAS GEAYHEART JR.

Date  05 January 1923
Cert: #  2152
Name:  Thomas GEAYHEART Jr. 
Place of Death: Voting Pct. #1 Hindman, Knott Co., KY
Male, White, Single
Birth Date:  15 June 1921
Age:  01 years, 07 months, 20 days
Occupation:  (blank)
Place of Birth:  Knott Co., Ky.
Name of Father:  John GEAYHEART
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Rachel SLONE
Birthplace Mother:  Knott Co., Ky. 
Informant:  (blank)
Death Date:  05 January 1923 
Cause of Death:  Lobar pneumonia 
Signed:  M. F. Kelley, M.D.
Burial Place:  Dyer Cemetery 
Date of Burial:  06 January 1923 
Undertaker:  John Gayheart, Hindman, Ky. 
File Date:  09 January 1923 
Transcribed by Debbie Tamborski, 04 January 2009