Date:    11 December 1944
Cert:    27651 
Place of Death: County: Knott   City or Town:  Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hospt.
Length of stay in hospital or community: 
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Pippapass, Ky. 
Full Name:  Arnold JOHNSON 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, (blank)
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  21 May 1943 
Age:  01 years, 06 months, 20 days
Birthplace:  Pippapass 
Occupation:   None 
Industry or business: (blank)
Father Name:  Joe JOHNSON 
Father Birthplace:  Pippapass, Ky. 
Mother Maiden Name:  Bossie JACOBS 
Mother Birthplace:  Pippapass, Ky.
Informant:  Joe JOHNSON, Pippapass, Ky. 
Burial Place:  Pippapass 
Date:   12 December 1944 
Signature of funeral director:  none
Date received by local registrar: 13 December 1944 
Registrar's Signature: Ida Livingston Rose B. Craft Acting Reg.
Date of Death:  11 December 1944 
I hereby certify that I attended deceased from 11 December 1944 to 11 December 1944, that I last saw him alive on 11 December 1944, and that death occurred on the date stated above at 9 p.m.
Immediate cause of death:  Diphtheria
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: A. R. Hodge, M.D., Lackey, Ky.
Date signed:  15 December 1944 
Transcribed by Debbie Tamborski, 14 November 2010