Date:  05 July 1953
Cert:  17006 
Place of Death: County: Knott      City or Town: Hollybush  Rural
Length of stay (in this place): (blank)
Full name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Hollybush     If rural give location: Rural
Full Name:  Chester CAUDILL
Date of Death:  05 July 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  09 June 1932
Age:  21 years
Usual Occupation: Farmer
Kind of Industry or business: same
Birthplace:  Knott Co., Ky.
Father's Name:  Jasper CAUDILL
Mother's Maiden Name:  Lula SHORT
Was deceased ever in armed forces: (blank)
Social Security No.:  none
Informant:  Dovie CAUDILL
Disease or condition directly leading to death: Decapitating Skull
Interval between onset and death:  (blank)
Due to (b):  Shot gun
Due to (c):  Self Inflicted
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: Accident
Place of injury: Home
City or Town, County, State: Hollybush, Knott, Ky.
Time of Injury: (blank)
Injury occurred at work: Not while at work
How did injury occur: Shot gun went off
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  (blank)
Address:  Hindman, Ky.
Signature:  Merd Slone, Judge, Knott Co.
Burial, Cremation or Removal:  Burial
Date:  07 July 1953
Name of Cemetery or Crematory:  Family Cemetery
Location:  Hollybush, Knott, Ky.
Date received by local registrar:  08 July 1953
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 07 February 2011