DEATH CERTIFICATE

ELLEN CALDWELL

Date:    23 April 1947
Cert:    16051 
Place of Death: County: Knott   City or Town: Sasfrass, Ky.
Street Number or Location:  At Home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Sasfrass, Ky. 
Full Name:  Ellen CALDWELL 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Female, White, Married 
Husband or Wife of:  Roy CALDWELL
Age of husband or wife if alive: (blank)
Birth date of deceased:  (blank)
Age:  50 years
Birthplace:  Virginia 
Occupation:  Housewife 
Industry or business:  (blank)
Father Name:   Fate SNOW
Father Birthplace:  Virginia 
Mother Maiden Name:   Kathern SNOW 
Mother Birthplace:   Virginia 
Informant:  Roy CALDWELL, Sassafras, Ky. 
Burial Place:   Sasfrass, Ky., Knott Co. 
Date:  24 April 1947 
Signature of funeral director:  Maggard & Blair F. H. Hazard, Ky., by R. E. Cox
Date received by local registrar:   30 July 1947
Registrar's Signature:  Rose B. Craft
Date of Death:  23 April 1947 
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:  Pulmonary Tuberculosis
Duration: (blank)
Due to:  (blank)
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:  C. L. Combs, M.D., Hazard, Ky.
Date signed:  25 April 1947 
Transcribed by Debbie Tamborski, 16 December 2010