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DEATH
CERTIFICATE
DAVID HAYS
Date 01 August 1935
Cert: 20340
Place of Death: Voting Pct.: Whitesburg, Letcher Co.,
Ky.
Full Name: David HAYS
Residence: Whitesburg, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Belle HAYS
Date of Birth: 06 January 1872
Age: 63 years, 06 months, 25 days
Occupation: Lawyer
Birthplace: Knott Co., Ky.
Father Name: Anderson HAYSE
Birthplace Father: Kentucky
Mother Maiden Name: Rachel SIZEMORE
Birthplace Mother: Unknown
Informant/Address: J. L. HAYS, Whitesburg, Ky.
Burial Cremation Removal Place: Whitesburg, Ky.
Date: 03 August 1935
Undertaker/Address: Johnson Funeral Home, Whitesburg,
Ky.
Filed: 02 August 1935
Registrar: Edith M. Collins
Death of Date: 01 August 1935
I hereby certify, That I attended deceased from 01 May 1935 to
01 August 1935, that I last saw him alive on 31 July 1935,
death is said to have occurred on the date stated above, at 3
p.m.
Cause of Death: Chronic myocarditis
Date of onset: 1934
Contributory causes: Alcoholic cirrhosis of liver
Date of onset: 1935
Name of operation: (blank)
Was there an autopsy: no
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: no
Signed/Address: J. E. Crawford, M.D., Whitesburg, Ky.
Transcribed by Debbie Tamborski, 17 April 2010 |
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