DEATH CERTIFICATE
EAVY FUGATE

Date    23 December 1916
Cert: #  30997 
Name:  Eavy FUGATE
Female, White, Single
Age:  16 years, 11 months, 23 days
Place of Death: Voting Precinct #4, Knott Co., KY  
Birth Date:  31 January 1899                                                    Occupation:  Housework                               
Place of Birth:  Breathitt Co.                  
Name of Father:  Clabe FUGATE                                 Birthplace Father:  Breathitt Co., Ky.
Maiden Name of Mother:  Nannie SYSMORE                  Birthplace Mother:  Breathitt Co., Ky.
Informant:  Canada RITCHIE, Vest, Ky.
Death Date:  23 December 1916 
Cause of Death:  Clothes caught on fire and burned to death 
Signed:  (blank)
Burial Place:  James Hays Graveyard                                     Date of Burial:  24 December 1916
Undertaker:  Clabe Fugate, Vest, Ky.
File Date:  24 December 1916
Transcribed by Debbie Tamborski, 07 November 2008