DEATH CERTIFICATE

HIRAM FUGATE

Date:  23 March 1952
Cert:  12858 
Place of Death: County: Knott      City or Town: Talcum
Length of stay (in this place): Life
Street address or location:  Home Rural
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town: Talcum     Street Address: Talcum   Rural
Full Name:  Hiram FUGATE
Date of Death:  23 March 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  April 1883
Age:  69 years
Usual Occupation:  Farmer
Kind of Industry or business: Farm
Birthplace:  Kentucky
Father's Name:  Sam FUGATE
Mother's Maiden Name:  Annie COMBS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Polly FUGATE
Disease or condition directly leading to death:  Possible Heart Condition
Interval between onset and death:  (blank)
Due to:  Cardiac Condition
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: Hazard, Perry Co., Ky.
Time of Injury:  (illegible)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  15 April 1952
Address:  Hazard, Ky.
Signature:  Riley Townsend, Acting Coroner Perry, Ky.
Burial, Cremation or Removal:  Burial
Date:  25 March 1952
Name of Cemetery or Crematory:  Fugate Cemetery
Location:  Talcum, Knott, Kentucky
Date received by local registrar:  11 June 1952
Registrar's Signature:  Mrs. Rose B. Craft
Funeral director & address:  Engle Funeral Home, Wm. Engle, Jr., Hazard, Ky.
Transcribed by Debbie Tamborski, 24 January 2011