Date: 07 July 1952
Cert: 15199
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: Walter FUGATE
Date of Death: 07 July 1952
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 26 December 1951
Age: 06 months
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Knott Co., Ky.
Father's Name: Thelman FUGATE
Mother's Maiden Name: Maudie RUSSELL
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Family
Disease or condition directly leading to death:
Infection of the Intestine
Due to (b): (illegible)
Interval between onset and death: 01 weeks
Due to (c): Green diarrhea
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 06 July 1952 to
07 July 1952, that I last saw the deceased alive on 06 July
1952, and
that death occurred at 1 a.m., from the causes and on the
date stated above.
Date signed: 01 August 1952
Address: Hindman, Ky.
Signature: M. F. Kelley
Burial, Cremation or Removal: Burial
Date: 09 July 1952
Name of Cemetery or Crematory: Family Cemetery
Location: Knott Co., Ky.
Date received by local registrar: 02 August 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 |