Date: 22 March 1951
Cert: 07867
Place of Death: County: Knott
City or Town: Wiscoal
Length of stay (in this place): (blank)
Name of Hospital or Institution: None
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Wiscoal Street Address:
(blank)
Full Name: Melvin FUGATE
Date of Death: 22 March 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 27 August 1920
Age: 30 years
Usual Occupation: Miner
Kind of Industry or business: Coal Mines
Birthplace: Breathitt County, Ky.
Father's Name: Sim FUGATE
Mother's Maiden Name: Martha FRANCIS
Was deceased ever in armed forces: No
Social Security No.: 405-10-6671
Informant: Marie FUGATE
Disease or condition directly leading to death: Cancer
(Stomach and Liver)
Interval between onset and death: 03 months
Due to: Peptic Ulcer
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 01 December
1950 to 22 March 1951, that I last saw the deceased alive on
22 March 1951, and
that death occurred at 10:15 p.m., from the causes and on the
date stated above.
Date signed: 26 March 1951
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 25 March 1951
Name of Cemetery or Crematory: Fugate Cemetery
Location: Lunah, Ky.
Date received by local registrar: 27 March 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Maggard and Garrett,
Hazard, Ky.
Transcribed by Debbie Tamborski, 19 January 2011 |