DEATH CERTIFICATE
(not named) FIELDS

Date    05 February 1911
Deathvol Vol:   1911
Cert: #  8463
Name:  (not named borned dead) FIELDS
Female, White
Age:  Borned Dead
Place of Death: Voting Pct No 7, Forked Mouth, Perry Co., KY
Birth Date:  05 February 1911
Place of Birth:  Kentucky
Father:  Sam FIELDS                                                   Birthplace Father: Ky.
Mother:  Sarahbell FELTNER                                        Birthplace Mother:  Ky.
Informant:  Martha BROCK
Death Date:  05 February 1911
Cause of Death:  Stillbirth
Signed:  Not Listed
Burial Place:  Not Listed
Undertaker:  Not Listed
File Date: 08 May 1911
Transcribed by Debbie Tamborski, 24 June 2008