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DEATH
CERTIFICATE
FRED CAUDILL
Date: 03 July 1948
Cert: 14125
Place of Death: County: Floyd
City or Town: Rural
Street number or Location: Home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Prestonsburg
Full Name: Fred CAUDILL
If Veteran Name War: (blank)
Social Security No.: 401-26-0923
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Louise CENTERS CAUDILL
Age of husband or wife if alive: 64 years
Birth date of deceased: Unk.
Age: 67 years
Birthplace: Knott Co., Ky.
Occupation: Laborer
Industry or business: (blank)
Father Name: Jarvis CAUDILL
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Liza HALE
Mother Birthplace: Floyd Co., Ky.
Informant: Louise CAUDILL, Prestonsburg, Ky.
Burial Place: W. Prestonsburg
Date: 06 July 1948
Signature of funeral director: Carter & Callihan F. H.,
Prestonsburg, Kentucky
Date received by local registrar: 08 July 1948
Registrar's Signature: Lucy Ransdell
Date of Death: 03 July 1948
I hereby certify that I attended deceased from 28 June 1948 to
03 July 1948, that I last saw him alive on 03 July 1948, and
that death occurred on the date stated above at 11:15 p.m.
Immediate cause of death: Broncho pneumonia
Duration: 02 days
Due to: Bronchial asthma
Duration: 10 years
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: M. T. Dotson, M.D.,
Prestonsburg, Ky.
Date signed: 06 July 1948
Transcribed by Debbie Tamborski, 01 July 2010 |
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