DEATH CERTIFICATE

EDWARD FIELDS

Date    26 June 1913
Deathvol Vol:   1913
Cert: # 16336
Name: Edward FIELDS
Male, White, Single
Age: 4 years, 07 months, 24 days
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date: 30 October 1908
Place of Birth: Knott Co., Ky.
Father: Jack FIELDS                                                   Birthplace Father: Perry Co., Ky.
Mother: Manda COOTS                                                      Birthplace Mother: Leslie Co., Ky.
Informant: Jack FIELDS, Smithsboro, Ky.
Death Date: 26 June 1913
Cause of Death: Flux     Contributory: Measles
Signed:  G. D. Ison, M.D.
Burial Place: Combs Grave
Undertaker: Jack Fields, Smithsboro, Ky.
File Date: 26 June 1913
Transcribed by Debbie Tamborski, 22 July 2008