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DEATH
CERTIFICATE
CASH TRIPLETT
Date 15 November 1936
Cert: 30510
Name: Cash TRIPLETT
Place of Death: Voting Pct. Lackey, Stumbo Mem.
Hosp., Knott Co., KY
Residence: Wayland, Ky.
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 26 years, 03 months, days
Occupation: Miner
Place of Birth: Ky.
Name of Father: Preston TRIPLETT
Birthplace Father: Ky.
Maiden Name of Mother: BARDIS
Birthplace Mother: Ky.
Informant: Nat BRADLEY, Lester, Ky.
Death Date: 15 November 1936
Cause of Death: Gunshot wounds
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 11 December 1936
Registrar: Dr. G. C. Collins, Lackey, Ky.
Transcribed by Debbie Tamborski, 21 September 2009 |
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