Date: 08 March 1953
Cert: 10659
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Leburn, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
location: Leburn, Ky.
Full Name: James FUGATE
Date of Death: 08 March 1953
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 29 March 1952
Age: 11 months, 09 days
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Knott County, Ky.
Father's Name: French FUGATE
Mother's Maiden Name: Lois PRIECE
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Mrs. French FUGATE
Disease or condition directly leading to death: Pneumonia
caused
Interval between onset and death: (blank)
Due to: Measles
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: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 08 March 1953 to
08 March 1953, that I last saw the deceased alive on (blank), and
that death occurred at 4 p.m., from the causes and on the
date stated above.
Date signed: (blank)
Address: Hindman, Ky.
Signature: M. F. Kelley
Burial, Cremation or Removal: Burial
Date: 09 March 1953
Name of Cemetery or Crematory: Family Cemetery
Location: Knott Co., Ky.
Date received by local registrar: 30 March 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman,
Ky.
Transcribed by Debbie Tamborski, 07 February 2011 |