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DEATH
CERTIFICATE
ADAM CAUDILL
Date 08 September 1920
Cert: # 27712
Name: Adam CAUDILL
Place of Death: Voting Pct. Caney, Knott Co., KY
Male, White, Single
Birth Date: 07 July 1902
Age: 18 years, 02 months, 01 days
Occupation: Farming
Place of Birth: Knott County
Name of Father: Preston CAUDILL
Birthplace Father: Kentucky
Maiden Name of Mother: Margaret SLONE
Birthplace Mother: Kentucky
Informant: Margaret (her X mark) CAUDILL, Hollybush, Ky.
Death Date: 08 September 1920
Cause of Death: Perforation of bowel (????) from
Typhoid
Signed: J. W. Duke, M.D.
Burial Place: Alice Slone Cemetery
Date of Burial: 09 September 1920
Undertaker: Isom Caudill, Hollybush, Ky.
File Date: 12 October 1920
Transcribed by Debbie Tamborski, 11 December 2008 |
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