Date: 20 February 1944
Cert: 07537
Place of Death: County: Knott City or
Town: Rural
Street Number or Location: Home of son
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Perry
City or Town: Rural
Full Name: Elenor FUGATE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 11 December 1860
Age: 83 years, 02 months, 09 days
Birthplace: Perry Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Bill FUGATE
Father Birthplace: Breathitt Co., Ky.
Mother Maiden Name: Juda CAMPBELL
Mother Birthplace: Breathitt Co., Ky.
Informant: Gabe FUGATE, Ary, Ky.
Burial Place: Ball Fork
Date: 21 February 1944
Signature of funeral director: Maggard, Hazard, Ky.
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 20 February 1944
I hereby certify that I attended deceased from April 1943 to
February 1944, that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Myocarditis Cardia Hypertrophy
& Dilatation
Duration: (blank)
Due to: Chronic Interstitial Nephritis
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Hunter W. Gingles, M.D.,
Hardburly, Ky.
Date signed: 30 March 1944
Transcribed by Debbie Tamborski, 12 November 2010 |