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DEATH
CERTIFICATE
ROSEMA TRIPLETT
Date 11 September 1918
Cert: # 23343
Name: Rosema TRIPLETT
Female, White, Child
Age: born dead
Place of Death: Vot. Prec. Jones Fork, Lackey , Knott Co., KY
Birth Date: 11 September 1918
Occupation: (blank)
Place of Birth: Knott, Ky.
Name of Father: Buck TRIPLETT
Birthplace Father: Lackey, Ky.
Maiden Name of Mother: Martha NELSON
Birthplace Mother: Ky.
Informant: Ben TRIPLETT, Lackey, Ky.
Death Date: 11 September 1918
Cause of Death: Stillbirth--prolonged delayed labor
Signed: N. N. Collins, M.D.
Burial Place: Four Mile
Date of Burial: 12 September 1918
Undertaker: Mat Conley, Lackey, Ky.
File Date: 12 September 1918
Transcribed by Debbie Tamborski, 23 November 2008 |
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