DEATH CERTIFICATE

 AMANDA FIELDS

Date:    13 March 1944
Cert:    13004 
Place of Death: County: Knott   City or Town:  Amburgy
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky    County: Knott
City or Town:  Amburgy 
Full Name:  Amanda FIELDS 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Married
Husband or Wife of:  A. J. FIELDS
Age of husband or wife if alive: 72 years
Birth date of deceased:  11 March 1879 
Age:  65 years,  00 months, 02 days
Birthplace:  Leslie Co., Kentucky 
Occupation:  Housewife 
Industry or business: (blank)
Father Name:  Sylvester COOTS 
Father Birthplace:  unknown 
Mother Maiden Name:  Elizabeth MUSSELWHITE 
Mother Birthplace:  unknown 
Informant:  Mrs. Troy FIELDS, Amburgy, Ky. 
Burial Place: S. Combs Cem. 
Date:  14 March 1944 
Signature of funeral director:  Family, Amburgy, Ky.
Date received by local registrar:  March 1945 
Registrar's Signature: Rose B. Craft Acting Registrar Per B. Carns
Date of Death:  13 March 1944
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Apoplexy
Duration: (blank)
Due to:  (blank)
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:  J. R. Aker, M.D., Anco, Ky.
Date signed:  23 March 1945 
Transcribed by Debbie Tamborski, 12 November 2010