Date: 05 October 1949
Cert: 21236
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): 06 months
Street address or location: Litt Carr, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Litt Carr, Ky.
Full Name: Sondalae PARKS
Date of Death: 05 October 1949
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 03 April 1949
Age: 06 months
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Lit Carr, Ky.
Father's Name: Bowman PARKS
Mother's Maiden Name: Elizabeth COOK
Was deceased ever in armed forces: (blank)
Social Security No.: None
Informant: Mrs. Robert COOK
Disease or condition directly leading to death: Lobar
pneumonia
Interval between onset and death: (blank)
Due to: Severe cold
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 01 October 1949 to
05 October 1949, that I last saw the deceased alive on 01
October 1949, and
that death occurred at 7 p.m., from the causes and on the
date stated above.
Date signed: 14 October 1949
Address: (blank)
Signature: M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date: 06 October 1949
Name of Cemetery or Crematory: Stamper
Location: Lit Carr, Ky.
Date received by local registrar: 14 October 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: None
Transcribed by Debbie Tamborski, 08 January 2011 |