DEATH CERTIFICATE

ANDREW JACKSON FIELDS

Date:  29 April 1949
Cert:  101113 
Place of Death: County: Knott      City or Town: Sasasfrass
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Sasassfrass    Street Address: (blank)
Full Name:  Andrew Jackson FIELDS
Date of Death:  29 April 1949
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth:  10 October 1873
Age: 76 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace:  Perry County
Father's Name:  Davis FIELDS
Mother's Maiden Name:  Sallie MULLINS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Ira COMBS
Disease or condition directly leading to death:  Senility
Interval between onset and death:  (blank)
Due to:  Natural Causes
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 01 April 1949 to 29 April 1949, that I last saw the deceased alive on 28 April 1949, and that death occurred at 6 a.m., from the causes and on the date stated above.
Date signed:  03 May 1949
Address:  Allock, Ky.
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal:  Burial
Date:  01 May 1949
Name of Cemetery or Crematory:  Combs Cem.
Location:  Knott County, Ky.
Date received by local registrar: 14 May 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Engles, Hazard, Ky.
Transcribed by Debbie Tamborski, 04 January 2011