4/06/73 Hugh Lynn Cayce obtained this Death record of Milton
Porter Cayce via his cousin Delbert Durwood Cayce III of
Hopkinsville, Ky.
COMMONWEALTH OF KENTUCKY
State Department of Health, Frankfort, Ky.
Division of Vital Statistics
No. 12841
CERTIFIED PHOTOSTATIC COPY OF
DEATH RECORD
COMMONWEALTH OF KENTUCKY
STATE OF BOARD OF HEALTH
BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH
1. PLACE OF DEATH
County Christian
Vot. Pct.
Inc. Town
City Hopkinsville Ky.
Registration District No. 230
Primary Registration Dist. No. 2115
(No. South Maine ... St.; ... Ward)
File No. 11773
Registered No. 154
[If death occurred in a hospital or institution give
its NAME instead of street and number.]
2. FULL NAME
Milton Porter Cayce
PERSONAL AND STATISTICAL PARTICULARS
3. SEX
Male
4. COLOR OR RACE
White
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED (Write the Word)
Baby
6. DATE OF BIRTH
March 28, 1911
7. AGE
1 mo. 20 ds.
IF LESS than 1 day ... hrs.
OR ... min.?
8. OCCUPATION
(a) Trade, profession, or
particular kind of work ...
(b) General nature of industry
business, or establishment in
which employed (or employer)
Had None
9. BIRTHPLACE
(State or Country)
Hopkinsville, Ky.
10. NAME OF FATHER
Edgar Cayce
11. BIRTHPLACE OF FATHER
(State or Country)
Christian County Kentucky
12. MAIDEN NAME OF MOTHER
Gertrude Evans
13. BIRTHPLACE OF MOTHER
(State or Country)
Hopkinsville, Ky.
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant) Elizabeth Evans
(Address) Hopkinsville Ky.
15. Filed May 18, 1911
Registar W. H. Martin
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH
May 17, 1911
17. I HEREBY CERTIFY, That I attended deceased from 5/10/1911
to 5/17/1911, that I last saw him alive on a.m. 5/17/1911,
and that death occurred, on the date stated above, at noon.
The CAUSE OF DEATH* was as follows:
Colitis
Autopu-Fulinus?
Duration 3 Weeks
Contributory Whooping Cough (Secondary)
Duration 2 Weeks
(Signed) Dr. J. B. Jackson M.D.
5/18/1911 (Address) Hopkinsville, Ky.
*State the DISEASE CAUSING DEATH, or, in deaths from VIOLENT
CAUSES, state (1) MEANS of INJURY; and (2) whether
ACCIDENTAL, SUICIDAL or HOMICIDAL
18. LENGTH OF RESIDENCE (For HOSPITALS, INSTITUTIONS,
TRANSIENTS or RECENT RESIDENTS)
At place of death ... yrs ... mos ... ds.
In the State ... yrs ... mos ... ds.
Where was disease contracted, If not at place of
death? ...
Former or usual residence ...
19. PLACE OF BURIAL OR REMOVAL
Hopkinsville, Ky.
DATE OF BURIAL
May 18, 1911
20. UNDERTAKER
Waller & Trice
ADDRESS
Hopkinsville, Ky.
I, Leuis C. Bush, State Registar, hereby certify the above to
be a true photostatic copy of the original death certificate
of the person therein named.
Signed and seal of the State Department of Health affixed
this 6th day of April, 1973
(Signed) Leuis C. Bush
Leuis C. Bush, State Registar
See Source File Key #1177 for [
1177]'s Solar and Natal Chart,
which was submitted on
6/28/73 by Mrs. Dorothy E. Moore,
3320 Ridgelake La., Plano, TX 75074 re 1177-1.


Edgar Cayce Readings © 1971, 1993, 1994, 1995 by the Edgar Cayce Foundation