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DEATH
CERTIFICATE
HENDERSON SPARKMAN
Date 13 October 1930
Cert: 29883
Place of Death: Voting Pct: Garrett, Floyd Co., Ky.
Full Name: Henderson SPARKMAN
Residence: Garrett, Ky.
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Male, White, Child
Husband or Wife of: (blank)
Date of Birth: 03 June 1929
Age: 01 years, 03 months, 10 days
Occupation: Child
Birthplace: Knott Co., Ky.
Father Name: Kendall SPARKMAN
Birthplace Father: Yellow Mountain, Ky.
Mother Maiden Name: Linda CONLY
Birthplace Mother: Yellow Mountain, Ky., Knott Co.
Informant/Address: Kendal SPARKMAN, Garrett, Ky.
Filed: (blank)
Registrar: G. S. Howard
Death of Date: (illegible) October 1930
I hereby certify that I attended deceased from 06 October 1930 to
13 October 1930, that I last saw him alive on 12 October 1930, and that death
occurred on the date stated above at (blank)
Cause of Death: Dysentery chronic followed by erysipelas
Duration: (blank)
Contributory: erysipelas
Duration: 10 days
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: (blank) Date: (blank)
Was there an autopsy: (blank)
What test confirmed diagnosis: (blank)
Signed/Address: Dr. M. M. Collins, M.D., 15
October 1930, Lackey, Ky.
Place of Burial or Removal: All Conlys Cemetery
Date of Burial: 13 October 1930
Undertaker/Address: Sampson Sparkman,
Yellow Mountain, Ky.
Transcribed by Debbie Tamborski, 29 March 2010 |
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