DEATH CERTIFICATE

TROY TRIPLETT

Date    19 December 1912
Deathvol 
Vol:   1912
Cert: #  31264
Name:  Troy TRIPLETT
Male, White, Single
Age:  5 years
Place of Death: Voting Pct Republican, Beaver,  Knott Co., KY
Birth Date:  unknown 1908
Place of Birth:  Ky.
Father:  Allen TRIPLETT                                             Birthplace Father: Ky.
Mother:  Florence CAUDILL                                                      Birthplace Mother:  Ky.
Informant:  Albert COOK
Death Date:  19 December 1912 
Cause of Death:  Diphtheria
Signed:  T. F. Shannon, M.D.
Burial Place:  Haney Creek Cemetery
Undertaker:  Albert Cook
File Date: 10 January 1913
Transcribed by Debbie Tamborski, 18 June 2008