Date: 27 November 1944
Cert: 13039
Place of Death: County: Knott City or
Town: Garner (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: Garner (rural)
Full Name: Gomar SPARKMAN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, (blank)
Husband or Wife of: Serena REYNOLDS
Age of husband or wife if alive: 31 years
Birth date of deceased: 21 November 1913
Age: 31 years, 00 months, 06 days
Birthplace: Knott County, Ky.
Occupation: Farming
Industry or business: (blank)
Father Name: R. G. SPARKMAN
Father Birthplace: Knott County, Ky.
Mother Maiden Name: Sarah WATTS
Mother Birthplace: Knott County, Ky.
Informant: (illegible) R. G. (his X) SPARKMAN, Garner,
Ky.
Burial Place: Garner, Ky.
Date: 03 December 1944
Signature of funeral director: Earl Howard, Estill, Ky.
Date received by local registrar: 22 March 1945
Registrar's Signature: Rose B. Craft acting L. R. per B.
Carns
Date of Death: 27 November 1944
I hereby certify that I attended deceased from (blank) to
10 April 1943, that I last saw h-- alive on 27 November 1944,
and that death occurred on the date stated above at 10 p.m.
Immediate cause of death: Paralysis of the lower limbs
caused by slate fall
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: April 1943
Where did injury occur: In Meem-Haskin Mines, Kodak, Ky.
While at work: Yes
Means of injury: Slate fall
Signature & Address: M. F. Kelley, Hindman, Ky.
Date signed: 22 March 1945
Transcribed by Debbie Tamborski, 24 November 2010 |