Date:   22 June 1941
Cert:   15465 
Place of Death: County: Knott     City or Town: Mousie
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: Life
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Mousie
Full Name:  Lon SPARKMAN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  22 June 1941
Age: 05 hours
Birthplace:  Mousie
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Kermit SPARKMAN
Father Birthplace:  Ky.
Mother Maiden Name:  Margarett MOORE
Mother Birthplace:  Ky.
Informant:  Kermit SPARKMAN, Mousie
Burial Place:  Mousie
Date:  23 June 1941
Signature of funeral director: family
Date received by local registrar:  30 June 1941
Registrar's Signature:  Macie Miller
Date of Death:  22 June 1941
I hereby certify that I attended deceased from 22 June 1941 to 22 June 1941, that I last saw him alive on 22 June 1941, and that death occurred on the date stated above at 1:30 p.m.
Immediate cause of death:  Congenital Heart disease
Duration: (blank)
Due to: Prematurity
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: A. B. Pigman, M.D., Wayland
Date signed:  29 June 1941
Transcribed by Debbie Tamborski, 15 October 2010