DEATH CERTIFICATE

ALONZO FUGATE

Date    04 January 1918
Cert: #  42472 
Name:  Alonzo FUGATE
Male, White
Age:   01 years,  10 months,  22 days
Place of Death: Voting Precinct , #9 Knott Co., KY  
Birth Date:  12 February 1916                                             Occupation:  Infant                              
Place of Birth:  Knott Co.                
Name of Father:  Daniel FUGATE                                               Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Caterine FUGATE                              Birthplace Mother:  Perry Co., Ky.
Informant:  Daniel FUGATE, Vest, Ky.
Death Date:  04 January 1918 
Cause of Death:  Fire Burns 
Signed:  (blank)
Burial Place:  Perry Co., Ky.                                                 Date of Burial:  January 1916 
Undertaker:  Dan Gipson, Vest, Ky.
File Date:  05 February 1918
Transcribed by Debbie Tamborski, 07 November 2008