Date:  03 September 1951
Cert:  18677 
Place of Death: County: Knott      City or Town: Amburgey
Length of stay (in this place): Life
Street address or location:  Home
Usual Residence of Deceased: State: Kentucky  County: Knott
City or Town: Amburgey    Street Address: (blank)
Full Name:  Polly FIELDS
Date of Death:  03 September 1951
Sex, Color or Race, Marital Status:  Female, White, Single
Date of Birth:  06 September 1869
Age:  81 years
Usual Occupation:  Housewife
Kind of Industry or business: Home
Birthplace:  Kentucky
Father's Name:  Nick EVERTS
Mother's Maiden Name:  Susan EVERTS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Newton R. MULLINS
Disease or condition directly leading to death: Hypertensive Heart Disease
Interval between onset and death:  05 years
Due to:  Senility
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 01 January 1951 to 03 September 1951, that I last saw the deceased alive on 02 September 1951, and that death occurred at 10 a.m., from the causes and on the date stated above.
Date signed:  06 September 1951
Address:  Allock
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal:  Burial
Date:  06 September 1951
Name of Cemetery or Crematory:  Amburgey Cemetery
Location:  Amburgey, Knott, Ky.
Date received by local registrar:  27 September 1951
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Engle Funeral Home, Hazard, Ky., Wm. Engle, Jr. By James Baker
Transcribed by Debbie Tamborski, 19 January 2011