DEATH CERTIFICATE

DEWEY FIELDS

Date  22 May 1912
Cert: #  14163 
Name:  Dewey FIELDS 
Male, White, Single
Age:  03 days
Place of Death: Voting Precinct Viper, Perry Co., KY
Birth Date:  19 May 1912 
Occupation:  None 
Place of Birth:  Kentucky 
Name of Father:  Wm. FIELDS 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Abbie CAUDILL 
Birthplace Mother:  Kentucky 
Informant:  Davis FIELDS, Farler, Ky. 
Death Date:  22 May 1912 
Cause of Death:  Croup 
Signed:   (blank)
Burial Place:  Green Fields res. 
Date of Burial:  23 May 1912 
Undertaker: (blank) 
File Date:  11 June 1912 
Transcribed by Debbie Tamborski, 02 December 2008