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 |