Date:  28 November 1955
Cert:  #23130
Place of Death: County: Knott      City or Town: Rural Hindman
Length of stay (in this place): (blank)
Name of Hospital or Institution: None
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town: Rural Hindman    Street Address: None
Full Name:  Thomas HAYS
Date of Death:  28 November 1955
Sex, Color or Race, Marital Status:  Male, White, Married
Date of Birth:  18 February 1872
Age: 83 years
Usual Occupation:  Farmer
Kind of Industry or business: Farming
Birthplace:  Perry Co., Ky.
Father's Name:  George HAYS
Mother's Maiden Name:  Mary HARVEY
Was deceased ever in armed forces: Yes, Spanish Am.
Social Security No.: No
Informant:  George HAYS
Disease or condition directly leading to death:  Paralysis
Interval between onset and death:
Due to:  (blank)
Other significant conditions: None
Date of Operation: None
Major findings of operation: None
Autopsy: No
Accident, suicide, or homicide: No
Place of injury:  None
City or Town, County, State: Knott, Ky.
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 17 February 1955 to  November 1955, that I last saw the deceased alive on  November 1955, and that death occurred at 12 p.m., from the causes and on the date stated above.
Date signed:    December 1955
Address:  Hindman, Ky.
Signature:  M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date:  30 November 1955
Name of Cemetery or Crematory: Gayheart Cem.
Location:  Knott Co., Ky.
Date received by local registrar:  December 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 10 June 2011