His death certificate records Albert King Spence, age 53 years 2 months, born 3 Dec 1868 in Va, died 13 Feb 1921 in Greenup Co., Ky, married, farmer, father James M. Spence, mother’s maiden name Loucrecia (surname faint and illegible, looks to me like Garfnce, Ancestry has indexed it as Ealfner, logic suggests Sutfune as the variant of Sutphin that would best fit the image), both born in Va, cause of death struck in the mouth by a butcher knife by his son Albert Spence, informant William Spence, burial place illegible.