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DEATH
CERTIFICATE
ALVIN CAUDILL
Date: 05 February 1946
Cert: 08529
Place of Death: County: Floyd City or Town:
Martin
Hospital or Institution: Beaver Valley
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Kite
Full Name: Alvin CAUDILL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Baby
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: (blank)
Age: 04 months
Birthplace: Knott Co.
Occupation: (blank)
Industry or business: (blank)
Father Name: Foster CAUDILL
Father Birthplace: Knott Co.
Mother Maiden Name: Mary KISER
Mother Birthplace: Knott Co.
Informant: Foster CAUDILL, Kite, Ky.
Burial Place: Kite, Ky.
Date: 06 February 1946
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 29 April 1946
Registrar's Signature: Lucy Ramsdell
Date of Death: 05 February 1946
I hereby certify that I attended deceased from 04 February
1946 to
05 February 1946, that I last saw him alive on 05 February
1946, and that death
occurred on the date stated above at 7:00 a.m.
Immediate cause of death: Bronchial pneumonia
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: Robert M. (illegible), M.D.,
Martin, Ky.
Date signed: 15 April 1946
Transcribed by Debbie Tamborski, 08 June 2010 |
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