Date:  28 October 1955
Cert:  #25502
Place of Death: County: Knott      City or Town: Cordia - Rural
Length of stay (in this place): (blank)
Street Address or Location:  Home
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Cordia - Rural    Street Address: Rural
Full Name:  Betty GAYHEART RUSSELL
Date of Death:  28 October 1955
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth:  02 March 1918
Age: 37 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky.
Father's Name:  Cap GAYHEART
Mother's Maiden Name:  Alice SMITH
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Cap GAYHEART
Disease or condition directly leading to death:  Gun Shot
Interval between onset and death:  (blank)
Due to:  Self inflicted
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Suicide
Place of injury:  Home
City or Town, County, State: Cordia, Knott, Ky.
Time of Injury:  28 October 1955
Injury occurred at work: (blank)
How did injury occur: self inflicted
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  17 November 1955
Address:  Hindman, Ky.
Signature:  John Everage, Coroner, Knott Co.
Burial, Cremation or Removal: Burial
Date:  31 October 1955
Name of Cemetery or Crematory: Gayheart
Location:  Cordia, Knott, Ky.
Date received by local registrar: 05 December 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  Johnson Funeral Home - Hazard, Ky., L. Riley Townsend, Manager
Transcribed by Debbie Tamborski, 10 June 2011