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DEATH
CERTIFICATE
AGGIE JANE TRIPLETT
Date 10 August 1915
Cert: # 19598
Name: Aggie Jane TRIPLETT
Female, White, Single
Age: 05 years, 08 months, 17 days
Place of Death: Voting Precinct #3, Knott Co., KY
Birth Date: 23 November 1909
Occupation: (blank)
Place of Birth: Ky.
Name of Father: Allen TRIPLETT
Birthplace Father: Ky.
Maiden Name of Mother: Florence CAUDILL
Birthplace Mother: Ky.
Informant: Harvey CAUDILL, Dry Creek, Ky.
Death Date: 10 August 1915
Cause of Death: Membranous croup
Signed: E. F. King, M.D.
Burial Place: Mouth of Honeycamp
Date of Burial: 11 August 1915
Undertaker: Harvey Caudill, Dry Creek
File Date: 08 September 1915
Transcribed by Debbie Tamborski, 23 November 2008 |
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