DEATH CERTIFICATE

(stillbirth FIELDS)

Date    18 November 1911
Deathvol Vol:   1911
Cert: #  30291
Name:  (stillbirth) FIELDS
Male, White, Single
Age: 
Place of Death: Voting Pct. No. 8, Perry Co., KY
Birth Date:  18 November 1911
Place of Birth:  Ky.
Father:  Elijah FIELDS                                                      Birthplace Father: Ky.
Mother:  June MCLEMORE                                                     Birthplace Mother:  Ky.
Informant:  Martha BROCK
Death Date:  18 November 1911
Cause of Death:  Stillbirth
Signed:  Not Listed
Burial Place:  Not Listed
Undertaker:  Not Listed
File Date: 11 December 1911
Transcribed by Debbie Tamborski, 24 June 2008