Date:  14 September 1955
Cert:  #18753
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): 30 years
Street address or location:  Lackey, Ky.
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town: Rural - Lackey     Street Address: Porter, Ky.
Full Name:  Elsie LILLY
Date of Death:  14 September 1955
Sex, Color or Race, Marital Status:  Female, White, Married
Date of Birth:  08 January 1900
Age: 55years
Usual Occupation:  Housewife
Kind of Industry or business: Keeping House
Birthplace:   Johnson Co., Ky. 
Father's Name:  Jess CAUDILL
Mother's Maiden Name:  Mary FAIRCHILD
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  George LILLY
Disease or condition directly leading to death:  Cardio Vascular
Interval between onset and death:  01 year
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  22 September 1955
Address:  Wayland, Ky.
Signature:  M. V. Wicker, M.D.
Burial, Cremation or Removal: Burial
Date:  16 September 1955
Name of Cemetery or Crematory: Fairchild Cemetery
Location:  Morgan Co., Ky.
Date received by local registrar: 26 September 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John N. Taul, Mt. Sterling, Eastin-Richey, Mt. Sterling, Ky.
Transcribed by Debbie Tamborski, 19 June 2011