Date:  06 May 1955
Cert:  #9992
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of life
Street Address or Location:  Mousie, Ky.
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Rural    Street Address:  Mousie
Full Name:  Artie TRIPLETT
Date of Death:  06 May 1955
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth:  (blank)
Age: 66 years
Usual Occupation: Housewife
Kind of Industry or business: keeping house
Birthplace:  Knott Co., Ky.
Father's Name:  Samuel GIBSON
Mother's Maiden Name:  Caroline COLLINS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Ellis TRIPLETT
Disease or condition directly leading to death:  Hit by truck
Interval between onset and death:  Sudden
Due to:  Crushed skull, Crushed chest, Broken neck, legs
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide:  Accident
Place of injury: Street
City or Town, County, State: Mousie, Knott, Ky.
Time of Injury: 06 May 1955, 9:30 a.m.
Injury occurred at work: Not while at work
How did injury occur: Truck hit person on road
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 9:30 a.m., from the causes and on the date stated above.
Date signed:  06 May 1955
Address:  Hindman, Ky.
Signature:  John Everage, Coroner, K. C.
Burial, Cremation or Removal: Burial
Date:  09 May 1955
Name of Cemetery or Crematory:  Campbell Cemetery
Location:  Mousie, Knott Co., Ky.
Date received by local registrar:  13 May 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John N. Taul, Mt. Sterling, Ky., Eastin-Richey Funeral Home
Transcribed by Debbie Tamborski, 14 May 2011