DEATH
CERTIFICATE
HARVEY CAUDILL
Date 15 September 1927
Cert: # 28554
Name: Harvey CAUDILL
Place of Death: Voting Pct. #14 Pippapass, Knott Co., KY
Male, White, Married
Husband or Wife of: Halley CAUDILL
Birth Date: 10 May 1864
Age: 63 years, 04 months, 15 days
Occupation: Farmer
Place of Birth: Ky.
Name of Father: Isaac CAUDILL
Birthplace Father: Ky.
Maiden Name of Mother: Sussie SLONE
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 15 September 1927
Cause of Death: Dilatation of the heart caused by
rheumatism
Signed: M. F. Kelley, M.D.
Burial Place: Watson Cemetery
Date of Burial: 16 September 1927
Undertaker: Halley Caudill, Pippapass, Ky.
File Date: 08 (?????) 1928
Transcribed by Debbie Tamborski, 11 December 2008 |
|