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DEATH
CERTIFICATE
GERTRUDE TRIPLETT
Date: 01 December 1945
Cert: 25475
Place of Death: County: Floyd City or Town:
Garrett
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Garrett
Full Name: Gertrude TRIPLETT
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Shelby TRIPLETT
Age of husband or wife if alive: 32 years
Birth date of deceased: 09 October 1925
Age: 21 years, 01 months, 22 days
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Kele CHAFFINS
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Ollie COBURN
Mother Birthplace: Floyd Co., Ky.
Informant: Kelee CHAFFINS, Garrett, Ky.
Burial Place: Garrett, Ky.
Date: 05 December 1945
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 21 December 1945
Registrar's Signature: Lucy Ramsdell
Date of Death: 01 December 1945
I hereby certify that I attended deceased from 01 December
1945 to
01 December 1945, that I last saw him alive on 01 December
1945, and that death occurred on the date stated above at
10:45 p.m.
Immediate cause of death: Gun shot wd. (illegible) skull
(illegible) accidental
Duration: (blank)
Due to: (illegible)
Other conditions: none
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: (illegible) Hodge, M.D., Lackey,
Ky.
Date signed: 18 December 1945
Transcribed by Debbie Tamborski, 06 June 2010 |
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