DEATH CERTIFICATE
HERMAN FUGATE

Date    15 August 1911
Deathvol Vol:   1911
Cert: #  21991
Name:  Herman FUGATE
Male, White, Single
Age:  6 months
Place of Death: Voting Pct. No. 8, Perry Co., KY
Birth Date:  10 February 1911
Place of Birth:  Ky.
Father:  Ben FUGATE                                                      Birthplace Father:  Ky.
Mother:  Polly COLWELL                                                    Birthplace Mother:  Ky.
Informant:  Not Listed
Death Date:  15 August 1911
Cause of Death:  Bronico Pneumonia
Signed:  G. C. Morgan, M.D.
Burial Place:  Not Listed
Undertaker:  Not Listed
File Date: 07 September 1911
Transcribed by Debbie Tamborski, 24 June 2008