Date: 17 March 1950
Cert: 23321
Place of Death: County: Knott
City or Town: Topmost
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Topmost Street Address:
(blank)
Full Name: Luanna CAUDILL
Date of Death: 17 March 1950
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 28 May 1877
Age: 72 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Knott County, Kentucky
Father's Name: Jont ISAAC
Mother's Maiden Name: Lucinda HARRIS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Foster CAUDILL
Disease or condition directly leading to death: Cancer of
bladder
Interval between onset and death: 01 year
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 1950 to
17 March 1950, that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 17 March 1950
Address: Garrett, Ky.
Signature: Mark Dempsey, M.D.
Burial, Cremation or Removal: Burial
Date: 19 March 1950
Name of Cemetery or Crematory: Family Cemetery
Location: Topmost, Kentucky
Date received by local registrar: 02 November 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 12 January 2011 |