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DEATH
CERTIFICATE
JOYCE CAUDILL
Date 19 July 1940
Cert: 17483
Place of Death: County: Knott City or Town:
Carr Creek
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Carr
Full Name: Joyce CAUDILL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 39 May 1938
Age: 02 years, 02 months
Birthplace: Knott Co.
Occupation: (blank)
Industry or business: (blank)
Father Name: Charles CAUDILL
Father Birthplace: Letcher Co.
Mother Maiden Name: Ailcy COMBS
Mother Birthplace: Knott Co.
Informant/Address: Charles CAUDILL, Litt Carr
Burial Place: Carr Creek
Date: 19 July 1940
Signature of funeral director/Address: (blank)
Date received by local registrar: 30 July 1940
Registrar's Signature: Macie Miller
Date of Death: 19 July 1940
I hereby certify that I attended deceased from 18 July 1940 to
19 July 1940, that I last saw him alive on 19 July 1940, and
that death occurred on the date stated above at 2:00 a.m.
Immediate cause of death: Spinal meningitis
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: J. W. Duke, Hindman
Date signed: (blank)
Transcribed by Debbie Tamborski, 16 August 2010 |
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