DEATH CERTIFICATE

WILLIAM O. FIELDS

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