Date: 06 February 1953
Cert: 03528
Place of Death: County: Knott
City or Town: Rural Lackey
Length of stay (in this place): 12 hours
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
location: Hollybush, Ky.
Full Name: Floyd CAUDILL
Date of Death: 06 February 1953
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: unknown
Age: app. 64 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Knott County, Ky.
Father's Name: Hardin CAUDILL
Mother's Maiden Name: Mary SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Corbett CAUDILL
Disease or condition directly leading to death: Cardiac
failure
Interval between onset and death: (blank)
Due to: Arteriosclerosis
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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
06 February 1953, that I last saw the deceased alive on 06
February 1953, and
that death occurred at 10:00 p.m., from the causes and on the
date stated above.
Date signed: 11 February 1953
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 08 February 1953
Name of Cemetery or Crematory: Family Cemetery
Location: Hollybush, Knott Co., Ky.
Date received by local registrar: 16 February 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: Jno. N. Taul, Hindman
Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 07 February 2011 |