DEATH CERTIFICATE

JAMES A. CAUDILL

Date:  09 July 1949
Cert:  Original No.:  14558      Duplicate No.:  14556
Place of Death: County: Knott    City or Town:  Littcar
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, Ky.    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, 06 months, 14 days
Usual Occupation:  Miner
Kind of Industry or business: Coal Mine
Birthplace:  Letcher County, Ky.
Father's Name:  Wilbur CAUDILL
Mother's Maiden Name:  Louise CRAUSE
Was deceased ever in armed forces: Yes, World War #2
Social Security No.: 404-28-6294
Informant:  Elmer CAUDILL
Disease or condition directly leading to death: Slate Fall in Mine
Interval between onset and death:  Instant
Due to:  Broken Neck
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
Accident, suicide, or homicide: Accident
Place of injury:  Coal mine
City or Town, County, State: Litt Carr, Knott, Kentucky
Time of Injury: 09 July 1949, 4 p.m.
Injury occurred at work:  Yes
How did injury occur: Slate fall
I hereby certify that I attended deceased from (blank) to 09 July 1949, that I last saw the deceased alive on (blank), and that death occurred at 4 p.m., from the causes and on the date stated above.
Date signed:  11 July 1949
Address:  Allock
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal:  Burial
Date:  11 July 1949
Name of Cemetery or Crematory:  Red Fox
Location:  Red Fox, Ky.
Date received by local registrar: 13 July 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Maggard & Blair, Hazard, Ky.
Transcribed by Debbie Tamborski, 03 January 2011