Date:    01 May 1948
Cert:    23453 
Place of Death: County: Knott  City or Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky  County: Knott
City or Town:  Pippapass     Rural 
Full Name:  Harvey P. CAUDILL 
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:  11 April 1947 
Age:  01 years, 00 months, 19 days
Birthplace:  Knott Co. 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Harvey CAUDILL 
Father Birthplace:  Melvin, Ky. 
Mother Maiden Name:   Roxie OWENS 
Mother Birthplace:   Pippapass, Ky. 
Informant:  Harvey CAUDILL, Raven, Ky.
Burial Place:   Garrett 
Date:  02 May 1948 
Signature of funeral director:  G. D. Ryan, Martin, Ky.
Date received by local registrar:  22 November 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  01 May 1948 
I hereby certify that I attended deceased from 28 April 1948 to 01 May 1948, that I last saw him alive on 01 May 1948, and that death occurred on the date stated above at 5 p.m.
Immediate cause of death:  Toxemia 
Duration: (blank)
Due to:  (illegible ?Pseudo---?) enteritis
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:  C. M. Aker, M.D., Lackey, Ky.
Date signed:  18 November 1948 
Transcribed by Debbie Tamborski, 22 December 2010