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DEATH
CERTIFICATE
STILLBIRTH FIELDS
Date 19 June 1919
Cert: # 18998
Name: Stillborn FIELDS
Male, White
Age: Stillbirth
Place of Death: Voting Precinct #6 , Knott Co., KY
Birth Date: 19 June 1919
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Samuel FIELDS
Birthplace Father: Perry Co., Ky.
Maiden Name of
Mother: Sallie MULLINS
Birthplace Mother: Knott Co., Ky.
Informant: Sam FIELDS, Pinetop, Ky.
Death Date: 19 June 1919
Cause of Death: Stillbirth--not known
Signed: (blank)
Burial Place: Davis Franklins
Date of Burial: 20 July 1919
Undertaker: Valentine Mullins, Smithsboro, Ky.
File Date: 19 June 1919
Transcribed by Debbie Tamborski, 07 November 2008 |
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