|
DEATH
CERTIFICATE
NAPOLEON B. TRIPLETT
Date 29 September 1935
Cert: 27771
Place of Death: Voting Pct.: Felt 6067, Laurel Co., Ky.
Full Name: Napoleon B. TRIPLETT
Residence: Fariston, Ky.
Length of Residence: 10 years
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Mattie JONES TRIPLETT
Date of Birth: 24 November 1975
Age: 60 years, 10 months, 05 days
Occupation: Farmer
Birthplace: Knott Co.
Father Name: Henry (initial illegible) TRIPLETT
Birthplace Father: Knott Co.
Mother Maiden Name: Margaret KING
Birthplace Mother: Knott Co.
Informant/Address: (illegible) Henry TRIPLETT
Burial Cremation Removal Place: London
Date: 01 October 1935
Undertaker/Address: Kincaid & Cooper, Corbin, Ky.
Filed: 10 December 1935
Registrar: (illegible) Stewart
Death of Date: 29 September 1935
I hereby certify, That I attended deceased from 29 July 1935 to
29 September 1935, that I last saw him alive on 29 September
1935, death is said to have occurred on the date stated above,
at 3:30 p.m.
Cause of Death: Chronic Nephritis Arterio Sclerosis
Date of onset: (blank)
Contributory causes: Enlarged Heart
Name of operation: (blank)
Was there an autopsy: Yes
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: No
Signed/Address: L. S. Siler, M.D., Corbin, Ky.
Transcribed by Debbie Tamborski, 17 April 2010 |
|