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DEATH
CERTIFICATE
GRACE FIELDS
Date 12 October 1918
Cert: # 29223
Name: Grace FIELDS
Female, White, Child
Age: 05 months, 25 days
Place of Death: Voting Precinct #6, Knott Co., KY
Birth Date: 17 April 1918
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Troy FIELDS
Birthplace Father: Perry Co., Ky.
Maiden Name of
Mother: Sallie MULLINS
Birthplace Mother: Knott Co., Ky.
Informant: Troy CORNETT, Smithsboro, Ky.
Death Date: 12 October 1918
Cause of Death: Cold or croup
Signed: none there
Burial Place: Spencer Combs
Date of Burial: 13 October 1918
Undertaker: Troy Fields, Smithsboro, Ky.
File Date: 12 October 1918
Transcribed by Debbie Tamborski, 07 November 2008 |
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