DEATH CERTIFICATE

  JIMMY CAUDILL

Date:    09 March 1944
Cert:    13031 
Place of Death: County: Knott   City or Town:  Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Floyd
City or Town:  Ligon 
Full Name:  Jimmy CAUDILL 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  Unknown 
Age:  08 years
Birthplace:  Floyd Co., Ky. 
Occupation:  (blank) 
Industry or business: (blank)
Father Name:  Calvin CAUDILL 
Father Birthplace:  Floyd Co., Ky. 
Mother Maiden Name:  Francis SLOAN 
Mother Birthplace: Floyd Co., Ky. 
Informant:  Calvin CAUDILL, Ligon, Ky. 
Burial Place:  Ligon, Ky. 
Date:  10 March 1944 
Signature of funeral director:  Purchased casket from W. J. Ryan, Martin, Ky.
Date received by local registrar:   19 March 1945
Registrar's Signature: Rose B. Craft acting per B. Carns
Date of Death:  09 March 1944 
I hereby certify that I attended deceased from 05 March 1944 to 09 March 1944, that I last saw him alive on 09 March 1944, and that death occurred on the date stated above at 5:30 a.m.
Immediate cause of death:  Acute Nephritis 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address: A. N. Hodge, M.D., Lackey, Ky.
Date signed:  19 March 1945 
Transcribed by Debbie Tamborski, 08 November 2010