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DEATH
CERTIFICATE
IVIL J. CAUDILL
Date 12 September 1936
Cert: 27732
Name: Ivil J. CAUDILL
Place of Death: Voting Pct. Lackey, Stumbo M.
Hosp., Knott Co., KY
Residence: Weeksbury, Ky.
Length of residence: (blank)
Female, White
Husband or Wife of: (blank)
Birth Date: 1935
Age: 01 years
Occupation: (blank)
Place of Birth: (blank)
Name of Father: Lee CAUDILL
Birthplace Father: Weeksbury, Ky.
Maiden Name of Mother: Dortha TACKETT
Birthplace Mother: Ky.
Informant: Lee CAUDILL, Weeksbury, Ky.
Death Date: 12 September 1936
Cause of Death: Acute Iunation and male nutrition
[sic]
Signed: Stumbo Mem. Hosp. by John O. Salyers, M.D.
Burial Place: Legion, Ky.
Date of Burial: 14 September 1936
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 19 October 1936
Transcribed by Debbie Tamborski, 16 September 2009 |
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