DEATH CERTIFICATE

(stillbirth) FUGATE

Date    16 December 1911
Deathvol Vol:   1911
Cert: # 32423
Name: (stillbirth) FUGATE
Female, White
Age: 00 years, 00 months, 00 days
Place of Death: Voting Pct. Lost Creek, Perry Co., KY
Birth Date: 16 December 1894
Place of Birth: Kentucky
Father: Claudius FUGATE                                                      Birthplace Father: Kentucky
Mother: Ida NOBLE                                                    Birthplace Mother: Kentucky
Informant: Milley FRANCIS
Death Date: 16 December 1911
Cause of Death: Stillborn, typhoid fever mother
Signed:  Milley Francis, Midwife
Burial Place: Leatherwood
Undertaker: Milley Francis
File Date: 28 December 1911
Transcribed by Debbie Tamborski, 24 June 2008