DEATH
CERTIFICATE
N. TOY TRIPLETT
Date: 12 December 1945
Cert: 24804
Place of Death: County: Boyle City or Town:
Rural
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Boyle
City or Town: Rural
Full Name: N. Toy TRIPLETT
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Marreid
Husband or Wife of: Lelia TRIPLETT
Age of husband or wife if alive: 44 years
Birth date of deceased: 28 November 1898
Age: 47 years, 00 months, 14 days
Birthplace: Knott Co., Ky.
Occupation: Retired Merchant
Industry or business: (blank)
Father Name: N. B. TRIPLETT
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Mary Jane HALL
Mother Birthplace: Knott Co., Ky.
Informant: Mrs. Toy TRIPLETT, Danville, Ky., R. R.
Burial Place: Danville Cemetery
Date: 15 December 1945
Signature of funeral director: J. Vernon Kemper, Danville, Ky.
Date received by local registrar: 16 December 1945
Registrar's Signature: J. R. (illegible)
Date of Death: 12 December 1945
I hereby certify that I attended deceased from July 1945 to 12
December 1945, that I last saw him alive on 12 December 1945,
and that death occurred on the date stated above at 3 p.m.
Immediate cause of death: Cerebral Hemorrhage
Duration: 01 days
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: L. May, M.D., Danville, Ky.
Date signed: 17 December 1945
Transcribed by Debbie Tamborski, 06 June 2010 |
|