Date: 15 February 1950
Cert: 05579
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): 01 day
Name of Hospital or Institution: Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Garner Street Address:
(blank)
Full Name: Maudie Loraine SPARKMAN
Date of Death: 15 February 1950
Sex, Color or Race, Marital Status: Female, White, (blank)
Date of Birth: 27 August 1949
Age: 05 months, 21 days
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Garner, Ky.
Father's Name: Ray SPARKMAN
Mother's Maiden Name: Retha COLLINS
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Ray SPARKMAN
Disease/condition directly leading to death: Respiratory
Failure
Interval between onset and death: (blank)
Due to: Pneumonia
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 14 February
1950 to
15 February 1950, that I last saw the deceased alive on 15
February 1950, and
that death occurred at 2:45 p.m., from the causes and on the
date stated above.
Date signed: 15 February 1950
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 16 February 1950
Name of Cemetery or Crematory: Garner Cem.
Location: Garner, Knott, Ky.
Date received by local registrar: 03 March 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: Friends & Relatives,
Garner, Ky.
Transcribed by Debbie Tamborski, 17 January 2011 |