DEATH CERTIFICATE

J. H. FUGATE

Date    03 April 1911
Deathvol Vol:   1911
Cert: # 29991
Name: J. H. FUGATE
Male, White, Widowed
Age: 82 years, 00 months, 19 days
Place of Death: Voting Pct. Lost Creek, Perry Co., KY
Birth Date: 15 March 1829
Place of Birth: Kentucky
Father: Henley FUGATE                                                    Birthplace Father: Kentucky
Mother: Tabitha MCINTOSH                                     Birthplace Mother: Kentucky
Informant: J. H. FUGATE, Jr.
Death Date: 03 April 1911
Cause of Death: old age and grippe
Signed:  J. H. Fugate, member of the family
Burial Place: Sixteen
Undertaker: J. H. Fugate, member of the family
File Date: 22 December 1911
Transcribed by Debbie Tamborski, 24 June 2008