Date: 28 November 1949
Cert: 25929
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): 03 days
Name of Hospital or Institution: Stumbo Memorial
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural Street Address:
Pippapass, Ky.
Full Name: Mabel Lee SPARKMAN
Date of Death: 28 November 1949
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 14 March 1947
Age: 02 1/2 years
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Knott Co., Ky.
Father's Name: Otis SPARKMAN
Mother's Maiden Name: Elda JOHNSON
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Otis SPARKMAN
Disease or condition directly leading to death:
Meningitis - Inf.
Interval between onset and death: 02 days
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 27 November
1949 to
28 November 1949, that I last saw the deceased alive on 28
November 1949, and
that death occurred at 3:30 p.m., from the causes and on the
date stated above.
Date signed: 02 December 1949
Address: Lackey, Ky.
Signature: Robert D. Eastridge, M.D.
Burial, Cremation or Removal: Burial
Date: 29 November 1949
Name of Cemetery or Crematory: Family
Location: Knott, Ky.
Date received by local registrar: 02 December 1949
Registrar's Signature: Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 08 January 2011 |