Date:   03 November 1943
Cert:   15260 
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: Ky.      County: Knott
City or Town:  Amburgy
Full Name:  Clarence FIELDS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Infant
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 03 November 1943
Age: 20 minutes
Birthplace:  Amburgy
Occupation:  (blank)
Industry or business: (blank)
Father Name:  John FIELDS
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Dorotha COMBS
Mother Birthplace:  Perry Co., Ky.
Informant:  John FIELDS, Amburgy
Burial Place:  Franklin Cem.
Date:  04 November 1943
Signature of funeral director: Family, Amburgy, Ky.
Date received by local registrar:  (blank)
Registrar's Signature:  Ida Livingston, Rose B. Craft, Deputy; per B. Carns
Date of Death: 03 November 1943
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:  Strangulation
Duration: (blank)
Due to: Severe labor
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:  13 April 1945
Transcribed by Debbie Tamborski, 23 October 2010