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DEATH
CERTIFICATE
JAMES ALBERT CAUDILL
Date 07 February 1951
Cert: 05969
Place of Death: County: Perry City or Town:
Hazard
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: Mt. Mary Hospital
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Sassafras
Full Name: James Albert CAUDILL
Date of Death: 07 February 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 22 March 1882
Age: 68 years
Usual Occupation: Miner Ret.
Kind of Industry or business: Coal Mine
Birthplace: Kentucky
Father's Name: Louis CAUDILL
Mother's Maiden Name: Mary CAUDILL
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: David WILLIAMS
Disease/condition directly leading to death: Cerebral
hemorrhage
Interval between onset and death: 01 hour
Due to: Hypertension & arteriosclerosis
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 10 January 1951 to
07 February 1951, that I
last saw the deceased alive on 07 February 1951, and that death occurred on
the date stated above at 11 p.m., from the causes and on the date
stated above.
Date signed: 13 February 1951
Address: Hazard, Ky.
Signature: Martin Palmer, M.D.
Burial, Cremation or Removal: Burial
Date: 10 February 1951
Name of Cemetery or Creamatory: Cornett Hill Cem.
Location: Knott Co., Ky.
Date received by local registrar: 15 February 1951
Registrar's Signature: Georgia Pendleton
Funeral director and address: Maggard and Garrett, Hazard, Ky.
Transcribed by Debbie Tamborski, 17 February 2010 |
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