Date:    21 November 1945
Cert:    26577 
Place of Death: County: Knott   City or Town: Fisty, Ky.  Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Fisty     Rural 
Full Name:  Lewis FUGATE 
If Veteran Name War: (blank)
Social Security No.:  403-03-0780
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Calonia Burnett FUGATE
Age of husband or wife if alive: 40 years
Birth date of deceased:  09 May 1904 
Age:  41 years, 06 months, 12 days
Birthplace:  Knott Co., Ky. 
Occupation:  Miner 
Industry or business:  (blank)
Father Name:  Clabe FUGATE 
Father Birthplace: Breathitt Co., Ky. 
Mother Maiden Name:   Winnie SIZEMORE 
Mother Birthplace:   Knott Co., Ky. 
Informant:  Calonia FUGATE, Fisty, Ky. 
Burial Place:   Engle Graveyard 
Date:  24 November 1945 
Signature of funeral director: Friends & Relatives, Fisty, Ky.
Date received by local registrar:  07 December 1945 
Registrar's Signature:  Rose B. Craft
Date of Death:  21 November 1945 
I hereby certify that I attended deceased from 14 November 1945 to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 1 p.m.
Immediate cause of death:  Pneumonia 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  M. F. Kelley, M.D., Hindman, Ky.
Date signed:  15 December 1945 
Transcribed by Debbie Tamborski, 27 November 2010