DEATH
CERTIFICATE
SAMMIE TRIPLETT
Date 07 Febraury 1918
Cert: # 11127
Name: Sammie TRIPLETT
Male, White, Single
Age: 16 years, 06 months, 01 days
Place of Death: Voting Precinct #9, Knott Co., KY
Birth Date: 01 January 1902
Occupation: Farmer
Place of Birth: Knott Co., Ky.
Name of Father: John D. TRIPLETT
Birthplace Father: Knott Co.
Maiden Name of Mother: Minta STEWART
Birthplace Mother: Knott Co., Ky.
Informant: J. D. TRIPLETT, Yal Mt., Ky.
Death Date: 07 February 1918
Cause of Death: Killed in the log wood by a falling tree
Signed: (blank)
Burial Place: Triplett
Date of Burial: 08 February 1918
Undertaker: J. D. Triplett, Yal Mt., Ky.
File Date: 12 Febraury 1918
Transcribed by Debbie Tamborski, 23 November 2008 |
|