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DEATH
CERTIFICATE
TRIPLETT
Date 05 August 1935
Cert: 20238
Name:
Place of Death: Voting Pct. Upper Caney, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 05 August 1935
Age: Stillborn
Occupation: (blank)
Place of Birth: Hollybush, Ky.
Name of Father: Maryland TRIPLETT
Birthplace Father: Hollybush, Ky.
Maiden Name of Mother: Bertha SLONE
Birthplace Mother: Raven, Ky.
Informant: (blank)
Death Date: 05 August 1935
Cause of Death: Killed by mothers riding wild mule and
carrying child in front of her
Signed: Francis Caudill, Midwife, Hollybush, Ky.
Burial Place: Triplett Graveyard
Date of Burial: 05 August 1935
Undertaker: Francis Caudill, Hollybush, Ky.
File Date: 06 August 1935
Transcribed by Debbie Tamborski, 11 August 2009
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