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DEATH
CERTIFICATE
KENNETH LEE FUGATE
Date 12 February 1952
Cert: 08386
Place of Death: County: Perry City or Town:
Hazard
Length of stay in hospital or community:
Name of Hospital or Institution: Mt. Mary Hospital
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Talcum
Full Name: Kenneth Lee FUGATE
Date of Death: 12 February 1952
Sex, Color or Race, Marital Status: Male, White, Never married
Date of Birth: 11 February 1952
Age: 18 hours
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Hazard, Ky.
Father's Name: Fred FUGATE
Mother's Maiden Name: Mary FUGATE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mary FUGATE
Disease or condition directly leading to death:
Atelectasis, premature
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (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 11 February
1952 to
12 February 1952, that I
last saw the deceased alive on 12 February 1952, and that death occurred on
the date stated above at 12:30 p.m., from the causes and on the date
stated above.
Date signed: 14 February 1952
Address: Hazard, Ky.
Signature: E. C. B(illegible), M.D.
Burial, Cremation or Removal: Removal
Date: 13 February 1952
Name of Cemetery or Creamatory: Family Cemetery
Location: Talcum, Ky.
Date received by local registrar: 06 March 1952
Registrar's Signature: Georgia P. Surer
Funeral director and address: Family
Transcribed by Debbie Tamborski, 20 February 2010 |
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