DEATH CERTIFICATE
DOSIA FIELDS

Date    14 April 1914
Deathvol Vol:   1914
Cert: #  10812
Name:  Dosia FIELDS
Female, White, Single
Age:  23 hours
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date:  14 April 1914               
Place of Birth:  Knott Co., Ky.
Father:  Jack FIELDS                                                   Birthplace Father:  Knott Co., Ky.
Mother:  Manda COOTS                                                       Birthplace Mother:  Knott Co., Ky.
Informant:  Jack FIELDS, Smithsboro, Ky.
Death Date:  14 April 1914
Cause of Death:  croupous
Signed:  M. F. Kelley, M.D.
Burial Place:  Old P Molder Hill
Undertaker:  Jack Fields, Smithsboro, Ky.
File Date: 14 April 1914
Transcribed by Debbie Tamborski, 25 July 2008