Date: 31 March 1953
Cert: 26621
Place of Death: County: Knott
City or Town: Red Fox Rural
Length of stay (in this place): 04 years
Street address or location: Home
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Red Fox - Rural If rural give
location:
(blank)
Full Name: Ellen CAUDILL
Date of Death: 31 March 1953
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: (blank)
Age: 69 years
Usual Occupation: (blank)
Kind of Industry or business: Housewife
Birthplace: Jerimiah
Father's Name: unknown
Mother's Maiden Name: Betsy CAUDILL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Alva CAUDILL
Disease or condition directly leading to death: Heart attack
Interval between onset and death: (blank)
Due to (b): High blood pressure
Due to (c): Long Illness
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Natural
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: 02 April 1953
Address: Hazard, Ky.
Signature: Riley Townsend, Deputy Coroner, Perry Co.,
Ky.
Burial, Cremation or Removal: 02 April 1953
Date: 02 April 1953
Name of Cemetery or Crematory: Family Cem.
Location: Knott, Ky.
Date received by local registrar: 23 June 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: Johnson Funeral Home By
Riley Townsend, Mgr., Hazard, Ky.
Transcribed by Debbie Tamborski, 24 February 2011 |