Date:   28 February 1943
Cert:   15291 
Place of Death: County: Knott     City or Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hospital
Length of stay in hospital or community: 01 hour
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Mousie
Full Name:  John TRIPLETT
If Veteran Name War: (blank)
Social Security No.: 404-09-1594
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Nannie TRIPLETT
Age of husband or wife if alive:  (blank)
Birth date of deceased:  09 March 1897
Age: 46 years, 11 months, 19 days
Birthplace:  Lackey, Ky.
Occupation:  Farmer and worker at Island Gas Plant
Industry or business: (blank)
Father Name:  John TRIPLETT
Father Birthplace:  (blank)
Mother Maiden Name:  SLONE
Mother Birthplace:  Garner, Ky.
Informant:  Mrs. Nannie TRIPLETT, Mousie, Ky.
Burial Place:  Mousie
Date:  30 February 1943 (transcribed as written)
Signature of funeral director:  Friends, Mousie
Date received by local registrar:  31 March 1945
Registrar's Signature: (blank)
Date of Death:  28 February 1943
I hereby certify that I attended deceased from 28 February 1943 to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 5:10 p.m.
Immediate cause of death:  Pneumonia Lobar 
Duration: 01 wk.
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: A. N. Hodge, M.D., for Dr. R. Chitwood
Date signed:  31 March 1945 
Transcribed by Debbie Tamborski, 29 October 2010