DEATH CERTIFICATE

 I. B. CAUDILL

Date:   13 January 1944
Cert:   20728 
Place of Death: County: Knott   City or Town: Hollybush  Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Floyd
City or Town:  Estill     Rural
Full Name:  I. B. 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:  27 November 1894
Age: 49 years, 01 months, 16 days
Birthplace:  Knott Co., Ky.
Occupation:  Farming
Industry or business: (blank)
Father Name:  Hardin CAUDILL
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Mary SLONE
Mother Birthplace:  Knott Co., Ky.
Informant:  B. J. CAUDILL, Lackey, Ky.
Burial Place:  Hollybush, Ky.
Date:  17 January 1944
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar:  26 September 1944
Registrar's Signature:  Ida Livingston  Rose B. Craft Acting Registrar
Date of Death: 13 January 1944
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 11:00 a.m.
Immediate cause of death:  Internal hemorrhage
Duration: (blank)
Due to:  Buckshot
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
Date of occurrence: 13 January 1944
Where did injury occur: on Farm
While at work: yes
Means of injury: Gun
Signature & Address: W. J. Ryan, Martin, Ky.
Date signed:  16 January 1944
Transcribed by Debbie Tamborski, 07 November 2010