DEATH CERTIFICATE

POLLY SMITH FUGATE

Date:  24 April 1952
Cert:  10455 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of life
Street address or location:  Vest, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural    If rural give precinct:  Vest, Ky.
Full Name:  Polly SMITH FUGATE
Date of Death:  24 April 1952
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth:  24 June 1860
Age:  91 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping house
Birthplace:  Perry County, Ky.
Father's Name:  Isaac SMITH
Mother's Maiden Name:  Sitha STACY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. Daniel FUGATE
Disease or condition directly leading to death:  Senility
Interval between onset and death:  (blank)
Due to:  The Person never had a doctor in her life.
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 (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at 10:45 p.m., from the causes and on the date stated above.
Date signed:  24 April 1952
Address:  Hindman, Ky.
Signature:  J. N. Taul (Coroner)
Burial, Cremation or Removal:  Burial
Date:  26 April 1952
Name of Cemetery or Crematory:  Fugate Cemetery
Location:  (Ball), Perry, Ky.
Date received by local registrar: 16 May 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John N. Taul, Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 24 January 2011