DEATH CERTIFICATE

EUARRIE SPARKMAN

Date:  13 December 1940
Cert:  29240
Place of Death: County: Knott     City or Town: Carrie
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:  Carrie
Full Name:  Euarrie 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:  20 May 1862
Age: 78 years
Birthplace:  Hollybush, Ky.
Occupation:   Farmer 
Industry or business: (blank)
Father Name:  Argie SPARKMAN
Father Birthplace:  Knott Co.
Mother Maiden Name:  Sally REYNOLDS
Mother Birthplace:  Knott Co.
Informant:  Ibby SHORT, Carrie, Ky.
Burial Place:  Pippapass
Date:  15 December 1940
Signature of funeral director: Family, Pippapass
Date received by local registrar:  16 December 1940
Registrar's Signature:  Macie Miller
Date of Death:  13 December 1940
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:  (blank)
Duration: (blank)
Due to: Senility
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.
Date signed:  (blank)
Transcribed by Debbie Tamborski, 06 October 2010