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DEATH
CERTIFICATE
Mrs. MELDA CODY CAUDILL
Date 22 December 1934
Cert: 31516
Place of Death: Voting Pct.: Sandlick, Letcher Co., Ky.
Full Name: Mrs. Melda Cody CAUDILL
Residence: Whitesburg, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Sammy CAUDILL
Date of Birth: 19 June 1883
Age: 51 years, 06 months, 04 days
Occupation: Housekeeper at home
Birthplace: Knott Co., Ky.
Father Name: P. CODY
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: ? [sic] BREEDING
Birthplace Mother: Knott Co., Ky.
Informant/Address: Mrs. John BANKS
(neighbor), Whitesburg, Ky.
Burial Cremation Removal Place: Caudill Cemetery
Date: 23 December 1934
Undertaker/Address: none - family, Whitesburg, Ky.
Filed: 27 December 1934
Registrar: Edith M. Collins
Death of Date: 22 December 1934
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at 4 a.m.
Cause of Death: Pellagra
Date of onset: 3-4 years
Contributory causes: (blank)
Name of operation: none
Date of: no
What test confirmed diagnosis: None
Was there an autopsy: No
Specify whether injury occurred industry, home, public place:
Manner of injury: none
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: R. D. Collins, M.D., Whitesburg, Ky.
Transcribed by Debbie Tamborski, 04 April 2010 |
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