DEATH CERTIFICATE

JULIA ANN FUGATE

Date  27 August 1923
Cert: #  26245 
Name:  Julia Ann FUGATE 
Place of Death: Voting Pct. Upper Ball, Knott Co., KY
Female, White, Married
Birth Date:  26 June 1854 
Age:  69 years, 02 months, 01 days
Occupation:  House work
Place of Birth:  Breathitt Co., Ky.
Name of Father:  Wm. CAMPBELL
Birthplace Father:  Breathitt Co., Ky. 
Maiden Name of Mother:  (blank)
Birthplace Mother:  Breathitt Co., Ky. 
Informant:  Dan FUGATE, Vest, Ky.
Death Date:  27 August 1923 
Cause of Death:  No physician in attendance 
Signed:  (blank)
Burial Place:  Richie Cemetery 
Date of Burial:  28 August 1923 
Undertaker:  Dan Gipson, Vest, Ky. 
File Date:  10 September 1923 
Transcribed by Debbie Tamborski, 30 December 2008