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DEATH
CERTIFICATE
WILLIAM CLAUDE CAUDILL
Date: 26 January 1948
Cert: 00682
Place of Death: County: Harrison
City or Town: Cynthiana
Street No. or Location: S. Main Street
Length of stay in hospital or community: 01 day
Usual Residence of Deceased: State: Ky.
County: Fayette
City or Town: Lexington Street
No.: 1204 Fontaine Road
Full Name: William Claude CAUDILL
If Veteran Name War: W W II
Social Security No.: 407-28-6827
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Marie Meyer CAUDILL
Age of husband or wife if alive: (blank)
Birth date of deceased: 22 January 1916
Age: 32 years, 00 months, 04 days
Birthplace: Knott Co., Ky.
Occupation: Claims Adjustor
Industry or business: Ohio Casualty Ins. Co.
Father Name: Jno. W. CAUDILL
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Nancy WADDELL
Mother Birthplace: Hindman, Ky.
Informant: Mrs. Marie Meyer CAUDILL, 1204
Fontaine Rd., Lex., Ky.
Burial Place: Lexington Cem.
Date: 29 January 1948
Signature of funeral director: W. R. Milward by Howard
M. Orme, Lexington, Ky.
Date received by local registrar: 31 January 1948
Registrar's Signature: Susan McDowell
Date of Death: 26 January 1948
I hereby certify that I attended deceased from 26 January 1948 to
26 January 1948, that I last saw him alive on 26 January 1948, and that death
occurred on the date stated above at 1:45 p.m.
Immediate cause of death: Cerebral accident
Duration: (blank)
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: (illegible), M.D., Cynthiana,
Kentucky
Date signed: 26 January 1948
Transcribed by Debbie Tamborski, 01 July 2010 |
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