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DEATH
CERTIFICATE
NIMROD TRIPLETT
Date 11 February 1919
Cert: 05314
Place of Death: Voting Precinct: #13 Oneida, Clay Co.,
Ky.
Full Name: Nimrod TRIPLETT
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 25 December 1910
Age: 08 years, 01 months, 16 days
Occupation: Schoolchild
Birthplace: Knott Co., Ky.
Name of Father: Thos. TRIPLETT
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Lucinda MAGGARD
Birthplace Mother: Letcher Co., Ky.
Informant/Address: Thos. TRIPLETT, Oneida, Ky.
Filed: 20 February 1919
Registrar: Hugh Combs
Death Date: 11 February 1919
I hereby certify that I attended deceased from 16 January 1919, to
10 February 1919, that I last saw him alive on 10 February
1919, and that death occurred, on the date stated above, at 7
a.m.
Cause of Death: Broncho Pneumonia
Duration: 21 days
Contributory: Influenza
Duration: 05 days
Signed/Address: E. G. Dick, M.D., 13 February 1919, 4526
Grant (illegible), Louisville, Ky.
Where was disease contracted if not at place of death:
at home
Former or usual residence: Knott Co., Ky.
Place of Burial or Removal: Oneida, Clay Co., Ky.
Date of Burial: 11 February 1919
Undertaker/Address: Steve Allen, Oneida
Transcribed by Debbie Tamborski, 06 March 2010 |
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