Date:  05 January 1953
Cert:  01272 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): (blank)
Street address or location:  Larkslane, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural    If rural give location: Pippapass
Full Name:  Dwaine SPARKMAN 
Date of Death:  05 January 1953 
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  01 May 1930 
Age:  23 years
Usual Occupation:  Common Labor
Kind of Industry or business:  Anything
Birthplace:  Knott Co. 
Father's Name:  Fred SPARKMAN 
Mother's Maiden Name:  Mary OWENS 
Was deceased ever in armed forces: (blank)
Social Security No.:  (blank)
Informant:  Fred SPARKMAN 
Disease or condition directly leading to death: Crushed Chest - Hemorrhage
Interval between onset and death:  (blank)
Due to (b):  truck wreck
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
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 (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  05 January 1953
Address:  Hindman, Ky.
Signature:  Jno. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date:  07 January 1952  (transcribed as written)
Name of Cemetery or Crematory:  Family Cemetery
Location:  Pippapass, Knott Co.
Date received by local registrar:  07 January 1953
Registrar's Signature: Rose B. Craft
Funeral director & address:  Hindman Funeral Home, Chas. L. Hornsby, Hindman, Ky.
Transcribed by Debbie Tamborski, 11 February 2011