Date:    28 March 1945
Cert:    06260 
Place of Death: County: Knott   City or Town: Litt Carr, Ky. Rural 
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Litt Carr, Ky.    
Full Name:   Mrs. Minnie CAUDILL TOLLIVER 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Married
Husband or Wife of:  Gus TOLLIVER
Age of husband or wife if alive: 38 years
Birth date of deceased:  07 October 1905 
Age:  39 years
Birthplace:   Letcher Co., Ky. 
Occupation:  Housewife 
Industry or business:  (blank)
Father Name:   Leander CAUDILL
Father Birthplace:  Letcher Co., Ky. 
Mother Maiden Name:  Mary Ann BACK 
Mother Birthplace:   Letcher Co., Ky. 
Informant:   Vernon HALL, Litt Carr, Ky. 
Burial Place:   Family Cem, Litt Carr 
Date:    30 March 1945
Signature of funeral director: Relatives, Litt Carr, Ky.
Date received by local registrar:  31 March 1945 
Registrar's Signature:  Rose B. Craft
Date of Death:  28 March 1945 
I hereby certify that I attended deceased from 28 March 1945 to 28 March 1945, that I last saw him alive on 28 March 1945, and that death occurred on the date stated above at 6:30 p.m.
Immediate cause of death:  Disease of the heart (illegible) 
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:  M. F. Kelley, M.D., Hindman, Ky.
Date signed:  31 March 1945 
Transcribed by Debbie Tamborski, 01 December 2010