|
DEATH
CERTIFICATE
LENA MILDRED CAYWOOD
Date 08 July 1932
Cert: 15484
Place of Death: Voting Pct: Jackson, Breathitt Co., Ky.
Full Name: Lena Mildred CAYWOOD
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Female, Colored,
Married
Husband or Wife of: Lee CAYWOOD
Date of Birth: 21 June 1910
Age: 22 years
Occupation: Housewife
Birthplace: Knott Co., Ky.
Father Name: Benjaman HAGANS
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Violet WILLIAMS
Birthplace Mother: Knott Co., Ky.
Informant/Address: Mrs. Violet SPICER, Cody, Ky.
Burial Cremation Removal Place: Cody, Ky.
Date: (blank)
Undertaker/Address: none
Filed: 08 August 1932
Registrar: Mrs. A. W. Brown
Death of Date: 08 July 1932
I hereby certify, That I attended deceased from 01 July 1932
to 08 July 1932, that I last saw her alive on 08 July 1932,
death is said to have occurred on the date stated above, at 12
p.m.
Cause of Death: Lobar pneumonia
Date of onset: 27 June 1932
Contributory causes: Pulmonary T. B.
Name of operation: (blank)
What tests confirmed diagnosis: (blank)
Autopsy: No
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: Boyd Caudill, M.D., Jackson, Ky.
Transcribed by Debbie Tamborski, 31 March 2010 |
|