DEATH CERTIFICATE

ANDERSON FIELDS

Date  20 March 1912
Cert: #  8358 
Name:  Anderson FIELDS 
Male, White, Married
Age:  68 years, 09 months, 17 days
Place of Death: Voting Precinct #5 Viper, Perry Co., KY
Birth Date:  03 June 1844 
Occupation:  Farmer 
Place of Birth:  Kentucky 
Name of Father:  Malon FIELDS
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Mary STANFORD 
Birthplace Mother:  Kentucky 
Informant:   (blank) 
Death Date:  20 March 1912 
Cause of Death:  Cerebral hemorrhage 
Signed:  G. W. Campbell, M.D.
Burial Place:  (blank) 
Date of Burial: (blank) 
Undertaker:  (blank) 
File Date:  27 March 1912 
Transcribed by Debbie Tamborski, 02 December 2008