DEATH CERTIFICATE

  ALBERT W. CAULDILL

Date:    12 September 1944
Cert:    20722 
Place of Death: County: Knott   City or Town:  Sassafras
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town: Sassafras 
Full Name:  Albert W. CAULDILL 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 07 December 1942 
Age: 01 years, 10 months, 05 days
Birthplace:  Knott Co., Ky. 
Occupation:   (blank) 
Industry or business: (blank)
Father Name:  Riley CAUDILL 
Father Birthplace:  Ky. 
Mother Maiden Name:  Lillian HOLLIMAN  
Mother Birthplace:  Ky. 
Informant:  Riley CAUDILL, Sassafras, Ky. 
Burial Place:  Red Fox, Ky. 
Date:  13 September 1944 
Signature of funeral director:  Engles, Hazard, Ky.
Date received by local registrar: 16 September 1944 
Registrar's Signature: Ida Livingston Rose B. Craft Acting registrar
Date of Death:  12 September 1944
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 1:30 p.m.
Immediate cause of death:  Diphtheria  Pharyngeal
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: J. R. Aker, M.D., Anco, Ky.
Date signed:  14 September 1944 
Transcribed by Debbie Tamborski, 08 November 2010