DEATH CERTIFICATE

LISSIE CAUDILL

Date  25 January 1929
Cert: #  3127
Name:  Lissie CAUDILL
Place of Death: Voting Pct. Upper Caney, Knott Co., KY
Female, White, Single
Birth Date:  June 1927
Age: 01 years, 07 months
Occupation:  Nothing
Place of Birth:  Ky.
Name of Father:  I. B. CAUDILL
Birthplace Father:  Ky.
Maiden Name of Mother:  Manda MADDEN
Birthplace Mother:  Ky.
Informant:  (blank)
Death Date:  25 January 1929
Cause of Death:  Flu
Signed:  (blank)
Burial Place:  A. L. Caudill Cemetery
Date of Burial:  26 January 1929
Undertaker:  H. C. Caudill, Hollybush, Ky. 
File Date:  09 January 1929 (transcribed as written)
Transcribed by Debbie Tamborski, 11 December 2008