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DEATH
CERTIFICATE
MITCHEL TRIPLETT
Date 02 August 1919
Cert: # 23802
Name: Mitchel TRIPLETT
Male, White, Child
Age: 08 months
Place of Death: Vot. Prec. Jones Fork, Lackey, Knott Co., KY
Birth Date: 12 January 1918
Occupation: Child
Place of Birth: Lackey, Ky.
Name of Father: Zack TRIPLETT
Birthplace Father: Lackey, Ky.
Maiden Name of Mother: Ellaza MARTIN
Birthplace Mother: Lackey, Ky.
Informant: Russel JOHNSON, Mousie, Ky.
Death Date: 02 August 1919
Cause of Death: Flux
Signed: N. N. Collins, M.D.
Burial Place: N. N. Pratt Cem.
Date of Burial: 02 August 1919
Undertaker: Mat Conley, Mousie, Ky.
File Date: 02 August 1919
Transcribed by Debbie Tamborski, 23 November 2008 |
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