Date: 07 May 1946
Cert: 01693
Place of Death: County: Knott City or
Town: Topmost
Street Number of Location: At his home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Topmost -- Rural
Full Name: Marion CAUDILL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Annie CAUDILL
Age of husband or wife if alive: 69 years
Birth date of deceased: October 1874
Age: 72 years, 07 months
Birthplace: Pike Co., Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: Harve CAUDILL
Father Birthplace: Pike Co., Ky.
Mother Maiden Name: Sally JOHNSON
Mother Birthplace: Pike Co., Ky.
Informant: Jonathan CAUDILL, Topmost, Ky.
Burial Place: Topmost, Ky.
Date: 09 May 1946
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 06 January 1947
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 07 May 1946
I hereby certify that I attended deceased from 26 April 1946 to
07 May 1946, that I last saw him alive on 07 May 1946, and
that death occurred on the date stated above at 10:00 a.m.
Immediate cause of death: Regurgitation of heart
Duration: 10 years
Due to: ruined valves from Rheumaties when young
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: Mark Dempsey, M.D., Garrett,
Ky.
Date signed: 31 December 1946
Transcribed by Debbie Tamborski, 04 December 2010 |