Date: 27 November 1946
Cert: 26824
Place of Death: County: Knott City or
Town: Redfox, Ky.
Street Number or Location: At Home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Redfox, Ky.
Full Name: Wilburn CAUDILL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Louisa CAUDILL
Age of husband or wife if alive: 55 years
Birth date of deceased: 28 July 1888
Age: 58 years, 03 months, 29 days
Birthplace: Letcher Co.
Occupation: Miner
Industry or business: (blank)
Father Name: Lewis CAUDILL
Father Birthplace: Letcher Co.
Mother Maiden Name: Marry CAUDILL
Mother Birthplace: Letcher Co.
Informant: Riley CAUDILL, Redfox, Ky.
Burial Place: Redfox, Ky., Knott
Date: 30 November 1946
Signature of funeral director: Maggard & Blair Funeral
Home, Hazard, Ky.
Date received by local registrar: 16 December 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 27 November 1946
I hereby certify that I attended deceased from 26 November
1946 to
27 November 1946, that I last saw him alive on 26 November
1946, and that death occurred on the date stated above at 7:00
p.m.
Immediate cause of death: Cerebral Apoplexy
Duration: 02 days
Due to: (blank)
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: 04 December 1946
Transcribed by Debbie Tamborski, 04 December 2010 |