Date: 15 September 1953
Cert: 27430
Place of Death: County: Knott Co.
City or Town: Amburgey (Rural)
Length of stay (in this place): (blank)
Street address or location: Home of Volentine Mullins
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: May If rural give
location:
(blank)
Full Name: William O. FIELDS
Date of Death: 15 September 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 15 March 1903
Age: 50 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Knott Co.
Father's Name: James FIELDS
Mother's Maiden Name: Sally MIDDLETON
Was deceased ever in armed forces: (blank)
Social Security No.: 405-07-1699
Informant: Cinda FIELDS
Disease or condition directly leading to death: cerebral
vascular accident
Interval between onset and death: 04 days
Due to (b): Hypertension
Interval between onset and death: unknown
Due to (c): arteriosclerosis
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 27 December
1952 to 11 September 1953, that I last saw the deceased alive
on 11 September 1953, and that death occurred at 6:15 a.m.,
from the causes and on the date stated above.
Date signed: 09 November 1953
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 19 September 1953
Name of Cemetery or Crematory: Amburgey Cemetery
Location: May, Ky.
Date received by local registrar: 16 November 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 07 February 2011 |