Date: 01 January 1944
Cert: 13012
Place of Death: County: Knott City or
Town: Vest (rural)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Vest (rural)
Full Name: Viney GAYHEART PATRICK
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 23 October 1856
Age: 87 years, 02 months, 08 days
Birthplace: Vest, Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Unknown
Father Birthplace: Kentucky
Mother Maiden Name: Unknown
Mother Birthplace: Perry Co., Ky.
Informant: Daniel PATRICK (son), Vest, Kentucky
Burial Place: Patrick Cemetery
Date: 03 January 1944
Signature of funeral director: D. K. Shephard (friend),
Hindman, Kentucky
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 01 January 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Stroke
Duration: (blank)
Due to: No physician in attendance
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., County Health
Officer, Hindman, Kentucky
Date signed: 13 March 1945
Transcribed by Debbie Tamborski, 15 November 2010 |