Date: 31 October 1947
Cert: 24768
Place of Death: County: Knott City or
Town: Pippapass, Ky. Rural
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 Rural
Full Name: Charlene SPARKMAN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 03 January 1934
Age: 13 years, 09 months, 28 days
Birthplace: Pippapass, Ky.
Occupation: None
Industry or business: (blank)
Father Name: Delzia SPARKMAN
Father Birthplace: Pippapass, Ky.
Mother Maiden Name: Sissie SHORT
Mother Birthplace: Pippapass, Ky.
Informant: Delza SPARKMAN, Pippapass, Ky.
Burial Place: Sparkman Cem., Pippapass, Ky.
Date: 01 November 1947
Signature of funeral director: Friends, Pippapass, Ky.
Date received by local registrar: 13 November 1947
Registrar's Signature: Rose B. Craft
Date of Death: 31 October 1947
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 4 p.m.
Immediate cause of death: Cerebral Hemorrhage
Duration: (blank)
Due to: Epilepsy Duration:
All her life
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, Ky.
Date signed: 13 November 1947
Transcribed by Debbie Tamborski, 20 December 2010 |