DEATH CERTIFICATE

WM. FUGATE JR.

Date 16 August 1937
Cert:  24197
Name:  Wm. FUGATE Jr.
Place of Death: Voting Pct. Upper Ball, Knott Co., KY
Residence:  Vest
Length of residence: 07 yrs.
Male, White
Husband or Wife of:  Infant
Birth Date:  (blank)
Age: 07 years, months, days
Occupation:
Place of Birth: Knott Ky.
Name of Father:  Wm. FUGATE Sr.
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Lida RICHIE
Birthplace Mother:  Knott
Informant:  Wm. FUGATE
Death Date:  16 August 1937
Cause of Death:  supposed cause Bronchial Pneumonia
Signed:  (blank)
Burial Place:  Richie
Date of Burial:  16 August 1937
Undertaker:  (blank)
File Date:  15 August 1936 (transcribed as written)
Registrar:  J.D. Martin
Transcribed by Debbie Tamborski, 30 September 2009