DEATH CERTIFICATE

WILLIAM TRIPLETT

Date:    10 September 1944
Cert:     01596 
Place of Death: County: Knott   City or Town:  Lackey   Rural
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky  County: Knott
City or Town:  Hollybush, Ky.
Full Name:  William TRIPLETT 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, (blank)
Husband or Wife of: William TRIPLETT (transcribed as written)
Age of husband or wife if alive: forty years
Birth date of deceased: 18 July 1874 
Age:  70 years, 01 months, 23 days
Birthplace:  Hollybush 
Occupation:  Farming 
Industry or business: (blank)
Father Name:  Wilson TRIPLETT
Father Birthplace:  Hollybush 
Mother Maiden Name:  Cordelia TRIPLETT 
Mother Birthplace:  Hollybush 
Informant: Layunia TRIPLETT, Hollybush, Ky. 
Burial Place:  Hollybush 
Date:  12 September 1944 
Signature of funeral director:  None
Date received by local registrar: 21 January 1945 
Registrar's Signature:  Ida Livingston Rose B. Craft Acting Reg.
Date of Death:  10 September 1944 
I hereby certify that I attended deceased from 09 September 1944 to 10 September 1944, that I last saw him alive on 10 September 1944, and that death occurred on the date stated above at (blank)
Immediate cause of death:  Peritonitis
Duration: (blank)
Due to:  Abscess gland (illegible)
Major findings of operations: Peritonitis
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  A. R. Hodge, M.D., Lackey, Ky.
Date signed:  24 January 1945 
Transcribed by Debbie Tamborski, 26 November 2010