DEATH CERTIFICATE

DANIEL TRIPLETT MOORE

Date  28 February 1921
Cert: #  8393
Name:  Daniel Triplett MOORE 
Place of Death: Voting Pct. Leburn, Knott Co., KY
Male, White, Single
Birth Date:  04 January 1921
Age:  01 months, 25 days
Occupation:  (blank)
Place of Birth:  Knott Co., Ky.
Name of Father:  Tomey MOORE
Birthplace Father:  Knott Co., Ky. 
Maiden Name of Mother:  Virgie TRIPLETT
Birthplace Mother:  Knott Co., Ky. 
Informant:  (blank)
Death Date:  28 February 1921 
Cause of Death:  Whooping cough and measles 
Signed:  M. F. Kelley, M.D.
Burial Place:  Sturgill Cemetery 
Date of Burial:  01 March 1921 
Undertaker:  Tomey Moore, Leburn, Ky. 
File Date:  30 April 1921 
Transcribed by Debbie Tamborski, 17 January 2009