Date: 11 June 1943
Cert: 15277
Place of Death: County: Knott City or
Town: Pippapass
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Pippapass
Full Name: Candes SPARKMAN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 01 February 1924
Age: 19 years, 04 months, 10 days
Birthplace: Pippapass, Kentucky
Occupation: none
Industry or business: (blank)
Father Name: Dellsy SPARKMAN
Father Birthplace: Pippapass, Kentucky
Mother Maiden Name: Sisie SHORT
Mother Birthplace: Pippapass, Kentucky
Informant: Dellsy SPARKMAN, Pippapass, Kentucky
Burial Place: Pippapass, Kentucky
Date: 12 June 1943
Signature of funeral director: Marion Slone, Pippapass,
Kentucky
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 11 June 1943
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Neurotrophia
Duration: (blank)
Due to: Congenital
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: J. W. Duke, M.D., Hindman
Date signed: 19 March 1945
Transcribed by Debbie Tamborski, 27 October 2010 |