Date: 17 July 1946
Cert: 11586
Place of Death: County: Knott City or
Town: Hollybush, Ky.
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, Ky.
Full Name: Chester CAUDILL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Della SLONE CAUDILL
Age of husband or wife if alive: 38 years
Birth date of deceased: 05 September 1910
Age: 35 years, 10 months, 12 days
Birthplace: Knott -- Hollybush
Occupation: Farmer
Industry or business: (blank)
Father Name: Franklin CAUDILL
Father Birthplace: Ky. -- Hollybush
Mother Maiden Name: Louanna OWENS
Mother Birthplace: Pippapass
Informant: Linda CAUDILL, Hindman, Ky.
Burial Place: Caudill Cem.
Date: 19 July 1946
Signature of funeral director: Jasper CAUDILL, Pippapass,
Ky.
Date received by local registrar: 25 July 1946 May
1947 Final information received
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 17 July 1946
I hereby certify that I attended deceased from 10 June 1946 to
16 July 1946, that I last saw her alive on 10 June 1946, and
that death occurred on the date stated above at 10 p.m.
Immediate cause of death: Cancer of the rectum
Duration: 02 years
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: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 21 July 1946
Transcribed by Debbie Tamborski, 04 December 2010 |