Date: 31 January 1948
Cert: 03510
Place of Death: County: Knott City or
Town: Red Fox, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Red Fox Rural
Full Name: Louisa CAUDILL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 14 December 1893
Age: 54 years, 01 months, 17 days
Birthplace: Letcher Co.
Occupation: Housewife
Industry or business: (blank)
Father Name: Andrew CRASE
Father Birthplace: Letcher Co.
Mother Maiden Name: Nancy Ann CRASE
Mother Birthplace: Letcher
Informant: Riley CAUDILL, Red Fox, Ky.
Burial Place: Red Fox
Date: 02 February 1948
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 10 February 1948
Registrar's Signature: Rose B. Craft
Date of Death: 31 January 1948
I hereby certify that I attended deceased from June 1947 to 31
January 1948, that I last saw him alive on 15 January 1948,
and that death occurred on the date stated above at 5 p.m.
Immediate cause of death: Cardiac failure (Dropsy)
Duration: (blank)
Due to: Cardiac dropsy
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. B. Pigman, M.D., Allock
Date signed: 05 February 1948
Transcribed by Debbie Tamborski, 22 December 2010 |