DEATH CERTIFICATE

(Not Named) FIELDS

Date  09 August 1936
Cert:  22432
Name:  (Not Named) FIELDS
Place of Death: Voting Pct. Hindman, Knott Co., KY
Residence:  (blank)
Length of residence: (blank)
Male, White, Single  
Husband or Wife of:  none
Birth Date:  (blank)
Age: non
Occupation: non
Place of Birth: Ky.
Name of Father:  Don't know
Birthplace Father:  Don't know
Maiden Name of Mother:  Grace FIELDS
Birthplace Mother:  Perry Co., Ky.
Informant:  Hattie BAILEY, Hindman, Ky.
Death Date:  09 August 1936
Cause of Death:  Stillbirth
Signed: M. F. Kelley, M.D., Hindman, Ky.
Burial Place:  Hindman Cemetery
Date of Burial:  10 August 1936
Undertaker:  Weeda Bailey, Hindman, Ky.
File Date:  15 August 1936
Registrar:  Rhoda C. Kelly
Transcribed by Debbie Tamborski, 18 September 2009