Date:   21 January 1942
Cert:   04240 
Place of Death: County: Knott     City or Town: (blank)
Name of Hospital or Institution: none
Length of stay in hospital or community: none
Usual Residence of Deceased: State: Kentucky    County: Knott
City or Town:  (blank)
Full Name:  A. L. JOHNSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White
Husband or Wife of:  Nannie JOHNSON
Age of husband or wife if alive:  (blank)
Birth date of deceased:  (illegible)
Age: 60 years
Birthplace:  Floyd County, Ky.
Occupation:  farmer
Industry or business: (blank)
Father Name:  John JOHNSON
Father Birthplace:  (blank)
Mother Maiden Name:  Susanie SLONE
Mother Birthplace:  (?Raven? illegible)  Floyd County
Informant:  Phebie SLONE, Garner 
Burial Place:  (blank)
Date:  22 January 1942
Signature of funeral director: (blank)
Date received by local registrar:  (blank)
Registrar's Signature:  10 March 1942
Date of Death:  21 January 1942
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Pulmonary T. B. 
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed:  13 February 1942
Transcribed by Debbie Tamborski, 17 October 2010