Date:  03 April 1952
Cert:  10452 
Place of Death: County: Knott     City or Town: Hindman, Ky. Rural
Length of stay (in this place): 20 years
Street address or location: Died at home near head of Perkins' Branch
Usual Residence of Deceased: State: Kentucky    County: Knott
City or Town: Hindman   Rural     Street Address: (blank)
Full Name:  John C. HAYNES
Date of Death:  03 April 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  25 August 1869
Age: 82 years 
Usual Occupation: Farming
Kind of Industry or business: Home Farm
Birthplace:  Quicksand, Knott Co., Ky.
Father's Name:  William HAYNES
Mother's Maiden Name:  Mary TOMLIN
Was deceased ever in armed forces: Yes, Spanish-American
Social Security No.: 232-28-7167
Informant:  Mrs. Rhoda HAYNES
Disease or condition directly leading to death: Hypertensive and arteriosclerotic heart disease with auricular fibrilllation
Interval between onset and death:  15 years
Due to:  (blank)
Other significant conditions: Asthenia secondary to possible carcinoma of stomach
Interval between onset and death:  06 months
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 10 March 1950 to 03 April 1952, that I last saw the deceased alive on 03 April 1952, and that death occurred at 10:00 p.m., from the causes and on the date stated above.
Date signed:  03 June 1952
Address:  Hindman, Ky.
Signature:  D. G. Barker, M.D.
Burial, Cremation or Removal:  Burial
Date:  06 April 1952
Name of Cemetery or Crematory:  Family Cemetery
Location:  Hindman (Rural), Knott, Ky.
Date received by local registrar:  02 June 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Friends, Hindman (Rural)
Transcribed by Debbie Tamborski, 26 January 2011