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DEATH
CERTIFICATE
EVA FUGATE
Date 23 December 1916
Cert: # 30982
Name: Eva FUGATE
Female, White, Single
Age: 18 years, 07 months, 13 days
Place of Death: Voting Precinct #9, Knott Co., KY
Birth Date: 05 May 1898
Occupation: School girl
Place of Birth: Knott Co., Ky.
Name of Father: Claibe FUGATE
Birthplace Father: Kentucky
Maiden Name of
Mother: Nancy SIZEMORE
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 23 December 1916
Cause of Death: Burns on body
Signed: M. F. Kelley, M.D.
Burial Place: Buckhorn
Date of Burial: 24 December 1916
Undertaker: Claibe Fugate, Vest, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 07 November 2008 |
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