Date: 01 July 1945
Cert: 19574
Place of Death: County: Knott City or
Town: Hindman, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Hindman Rural
Full Name: Not named CAUDILL Twin No. 2
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 01 July 1945
Age: 01 hours, 30 minutes
Birthplace: Hindman, Ky.
Rural
Occupation: none
Industry or business: (blank)
Father Name: Franklin CAUDILL
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Linda SHORT
Mother Birthplace: Knott Co., Ky.
Informant: Franklin (his X mark) CAUDILL, Hindman, Ky.
Burial Place: Hindman, Ky.
Date: 1945
Signature of funeral director: none
Date received by local registrar: 08 September 1945
Registrar's Signature: Rose B. Craft
Date of Death: 01 July 1945
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: This child died before I
arrived at the home
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman
Date signed: 18 September 1945
Transcribed by Debbie Tamborski, 26 November 2010 |