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DEATH
CERTIFICATE
ROBERT ALLEN TRIPLETT
Date: 13 December 1947
Cert: 28237
Place of Death: County: Floyd
City or Town: Bevinsville
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Bevinsville
Full Name: Robert Allen TRIPLETT
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lizzie Triplett
Age of husband or wife if alive: 51 years
Birth date of deceased: 29 October 1892
Age: 57 years, 01 months, 15 days
Birthplace: Knott County
Occupation: Farming
Industry or business: (blank)
Father Name: Wilson TRIPLETT
Father Birthplace: Knott County
Mother Maiden Name: Jane HUGHES
Mother Birthplace: Knott County
Informant: Melda MOSELY, Wayland
Burial Place: Hindman, Ky.
Date: 16 December 1947
Signature of funeral director: G. D. Ryan, Jr., Martin,
Ky.
Date received by local registrar: 09 January
1948
Registrar's Signature: Lucy Ransdell
Date of Death: 13 December 1947
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on 13 December 1947, and
that death occurred on the date stated above at 12:15 p.m.
Immediate cause of death: Cerebral Hemorrhage
Duration: 01 day
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: Marvin Ramsdell, MD, Prestonsburg, Ky.
Date signed: 09 January 1948
Transcribed by Debbie Tamborski, 26 June 2010 |
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