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DEATH
CERTIFICATE
WENONA TRIPLETT
Date 19 January 1919
Cert: 00860
Place of Death: Voting Precinct: #13 Oneida, Clay Co.,
Ky.
Full Name: Wenona TRIPLETT
Sex, Color or Race, Marital Status: Female, White,
Single
Date of Birth: 23 November 1904
Age: 14 years, 01 months
Occupation: School girl
Birthplace: Knott Co., Ky.
Name of Father: Thos. R. TRIPLETT
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Cindy MAGGARD
Birthplace Mother: Letcher Co., Ky.
Informant/Address: Thos. R. TRIPLETT, Oneida, Clay Co., Ky.
Filed: 20 February 1919
Registrar: Hugh Combs
Death Date: 19 January 1919
I hereby certify that I attended deceased from 10 January 1919, to
19 January 1919, that I last saw her alive on 18 January 1919,
and that death occurred, on the date stated above, at 5 a.m.
Cause of Death: Broncho Pneumonia
Duration:
Contributory: Influenza & Tuberculosis Tubercular
Signed/Address: Edgar G. Dick, M.D., 19 January 1919,
4526 Grant (illegible), Louisville, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: Knott Co., Ky.
Place of Burial or Removal: Oneida
Date of Burial: 20 January 1919
Undertaker/Address: Stephen Allen, Oneida, Ky.
Transcribed by Debbie Tamborski, 06 March 2010 |
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