Date: 03 November 1949
Cert: 27548
Place of Death: County: Knott City or Town:
Smithsboro, Ky.
Length of stay (in this place): (blank)
Street address or Location: Died at home
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Smithsboro Rural
Street Address: Home
Full Name: Cinda FRANCIS CAUDILL
Date of Death: 03 November 1949
Sex, Color or Race, Marital Status: Female, White,
Widowed
Date of Birth: 03 February 1903
Age: 46 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Kentucky
Father's Name: George FRANCIS
Mother's Maiden Name: Melvina SMITH
Was deceased ever in armed forces: No
Social Security No.: No
Informant: William C. SMITH
Disease condition directly leading to death:
Pulmonary Tuberculosis
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
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: (blank)
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 05 November 1949
Name of Cemetery or Crematory: Will Smith Cemetery
Location: Smithsboro, Knott, Ky.
Date received by local registrar: 17 February 1950
Registrar's Signature: Rose B. Craft
Funeral director/address: Relatives & Friends, Smithsboro, Ky.
Transcribed by Debbie Tamborski, 03 January 2011 |