DEATH CERTIFICATE

 ANSELL CAUDILL

Date:   24 July 1941
Cert:   29465 
Place of Death: County: Knott     City or Town: Garner rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Hollybush
Full Name:  Ansell CAUDILL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White
Husband or Wife of:
Age of husband or wife if alive:  (blank)
Birth date of deceased:  (blank)
Age: 18 days
Birthplace:  Garner
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Bruce CAUDILL
Father Birthplace:  Hollybush
Mother Maiden Name:  Cressa HUFF
Mother Birthplace:  Pippapass
Informant:  Cressa CAUDILL, Hollybush, Ky.
Burial Place:  Hollybush
Date:  25 July 1941
Signature of funeral director: (blank)
Date received by local registrar:  22 December 1941
Registrar's Signature:  Ida Livingston
Date of Death:  24 July 1941
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: (blank)
Duration: (blank)
Due to: Measles, no Doctor was called
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: (blank)
Date signed:  (blank)
Transcribed by Debbie Tamborski, 11 October 2010