Date:   15 June 1943
Cert:   15264 
Place of Death: County: Knott     City or Town: Lackey
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Lackey
Full Name:  Wm. TRIPLETT
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Melvina TRIPLETT
Age of husband or wife if alive:  70 years
Birth date of deceased:  (blank)
Age: 74 years
Birthplace:  Knott Co., Ky.
Occupation:  Farmer
Industry or business: (blank)
Father Name:  Lee TRIPLETT
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Rhoda HAMILTON
Mother Birthplace:  Boyd Co., Ky.
Informant:  Millard ALLEN, Lackey, Ky.
Burial Place:  Lackey, Ky.
Date:  17 June 1943
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar:  29 March 1945
Registrar's Signature:  (blank) Per B. Carns
Date of Death:  15 June 1943
I hereby certify that I attended deceased from 15 June 1943 to 15 June 1943, that I last saw him alive on 15 June 1943, and that death occurred on the date stated above at 2:00 p.m.
Immediate cause of death:  (blank)
Duration: (blank)
Due to: Brights disease Uremia poisoning
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Dr. M. M. Collins, M.D., Lackey, Ky.
Date signed:  20 March 1945
Transcribed by Debbie Tamborski, 29 October 2010