DEATH CERTIFICATE

DANIEL FUGATE

Date    07 November 1919
Cert: #  33069 
Name:  Daniel FUGATE
Male, White
Age:  01 years, 05 months
Place of Death: Voting Precinct , Knott Co., KY  
Birth Date:  07 June 1918                                                    Occupation:  (blank)                        
Place of Birth:  Knott Co., Ky.                  
Name of Father: Talbert FUGATE                                         Birthplace Father:  Knott Co.
Maiden Name of Mother:  Sarena SMITH                           Birthplace Mother:  Knott Co.
Informant:  Talbert FUGATE, Vest, Ky.
Death Date:  07 November 1919 
Cause of Death:  Croupe 
Signed:  no physician
Burial Place:  Fugate                                                              Date of Burial:  10 November 1919 
Undertaker:  James Smith, Vest, Ky.
File Date:  25 December 1919
Transcribed by Debbie Tamborski, 07 November 2008