DEATH CERTIFICATE
LIELLA FUGATE

Date    02 October 1911
Deathvol Vol:   1911
Cert: #  26913
Name:  Liella FUGATE
Female, White, Single
Age:  10 months, 25 days
Place of Death: Voting Pct. Lost Creek, Perry Co., KY
Birth Date:  27 February 1911
Place of Birth:  Perry Co.
Father:  Elexander FUGATE                                                      Birthplace Father: Perry Co.
Mother:  Nancy CAMPBELL                                                      Birthplace Mother:  Breathitt Co.
Informant:  Elexander FUGATE
Death Date:  02 October 1911
Cause of Death:  Croup
Signed:  Elexander Fugate, father of child
Burial Place:  Cocrills Fork, Perry Co.
Undertaker:  Elexander Fugate, father of child
File Date: 04 October 1911
Transcribed by Debbie Tamborski, 24 June 2008