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