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 |