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DEATH
CERTIFICATE
ELIZABETH CAUDILL
Date 13 June 1942
Cert: 14597
Place of Death: Voting Pct. #63, Dorton, Pike Co., Ky.
Full Name: Elizabeth CAUDILL
Residence: Dorton
Length of Residence: 50 years
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Billy CAUDILL
Date of Birth: 09 February 1862
Age: 79 years, (illegible) months, 04 days
Occupation: (blank)
Birthplace: Knott Co., Ky.
Father Name: unknown
Birthplace Father: unknown
Mother Maiden Name: unknown
Birthplace Mother: unknown
Informant/Address: Joe CAUDILL, Dorton, Ky.
Burial Cremation Removal Place: Myra, Ky.
Date: 14 June 1942
Undertaker/Address: Family, Dorton, Ky.
Filed: 17 June 1942
Registrar: Zinna Justice
Death of Date: 13 June 1942
I hereby certify, That I attended deceased from April 1942 to
June 1942, that I last saw her alive on May 1942, death is
said to have occurred on the date stated above, at 6 a.m.
Cause of Death: Diabetes with candil gangrene
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: Eleanor B. Hamilton, M.D., Myra, Ky.
Transcribed by Debbie Tamborski, 22 May 2010 |
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