Date: 09 July 1949
Cert: Duplicate No.: 14556
Original No.: 14558
Place of Death: County: Knott City or Town:
Amburgey, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Red Fox Rural Street Address:
(blank)
Full Name: James A. CAUDILL
Date of Death: 09 July 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 26 December 1925
Age: 23 years
Usual Occupation: Miner
Kind of Industry or business: Coal Mining
Birthplace: Carbon Glo, Letcher Co., Ky.
Father's Name: Wilburn CAUDILL
Mother's Maiden Name: Louisa CRASE
Was deceased ever in armed forces: (blank)
Social Security No.: 404-28-6294
Informant: Dorothy THORNSBERRY
Disease or condition directly leading to death:
Broken Neck & Back
Interval between onset and death: (blank)
Due to: Falling stone in mine
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Accident
Place of injury: In mine
City or Town, County, State: Amburgey, Knott, Kentucky
Time of Injury: 09 July 1949, 3 p.m.
Injury occurred at work: Yes
How did injury occur: Stone falling in mine broke neck and
back
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 26 July 1949
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Buried
Date: 11 July 1949
Name of Cemetery or Crematory: Begley Graveyard
Location: Redfox, Knott, Ky.
Date received by local registrar: 26 July 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Maggard & Blair, Hazard,
Ky.
Transcribed by Debbie Tamborski, 03 January 2011 |