DEATH CERTIFICATE

FRANKLIN D. FIELDS

Date   29 September 1936
Cert:  25060 
Name:  Franklin D. FIELDS
Place of Death: Voting Pct. #2, Knott Co., KY
Residence:  (blank) 
Length of residence: (blank)
Male, White, Infant
Husband or Wife of: (blank)
Birth Date:  31 January 1935 
Age: 01 years, 07 months, 28 days
Occupation:  (blank)
Place of Birth:  May, Ky.
Name of Father:  Clarence FIELDS
Birthplace Father:  Letcher Co. 
Maiden Name of Mother:  Lucy CAMPBELL
Birthplace Mother:  Knott Co. 
Informant:  (blank) 
Death Date:  29 September 1936 
Cause of Death:   Pneumonia 
Signed:  (blank)
Burial Place:  W. S. Amburgey
Date of Burial:  01 October 1936
Undertaker:  (blank)
File Date:  01 September 1936
Transcribed by Debbie Tamborski, 18 September 2009