DEATH CERTIFICATE

CASSIE FUGATE

Date    27 November 1911
Deathvol Vol:   1911
Cert: #  29619
Name:  Cassie FUGATE
Female, White, Single
Age:  02 years, 11 months, 11 days
Place of Death: Voting Pct. No. 8, Perry Co., KY
Birth Date:  16 December 1908
Place of Birth:  Perry County, Ky.
Father:  E. C. FUGATE                                                      Birthplace Father: Perry Co., Ky.
Mother:  Sary Jane FELTNER                                     Birthplace Mother:  Perry Co., Ky.
Informant:  Not Listed
Death Date:  27 November 1911
Cause of Death:  Saryngeal Diphtheria
Signed:  G. C. Morgan, M.D.
Burial Place:  Not Listed
Undertaker:  Not Listed
File Date: 07 December 1911
Transcribed by Debbie Tamborski, 24 June 2008