Date:  14 August 1953
Cert:  19132 
Place of Death: County: Knott      City or Town: Rural Lackey
Length of stay (in this place): 24 hours
Name of Hospital or Institution:  Stumbo Hospital
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Rural     If rural give location: Topmost, Ky.
Full Name:  Berlin JOHNSON 
Date of Death:  14 August 1953 
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  20 February 1898 
Age:   54 years 
Usual Occupation:  Miner
Kind of Industry or business: Coal Mining
Birthplace:  Floyd Co., Ky. 
Father's Name:  Warfield JOHNSON 
Mother's Maiden Name:  Mary CAUDILL 
Was deceased ever in armed forces: No
Social Security No.:  406-10-5655
Informant:  Albert JOHNSON 
Disease or condition directly leading to death: Mesenteric Thrombosis
Due to:  Phlerothrombosis
Interval between onset and death:  less 24 hours
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
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 13 August 1953 to 14 August 1953, that I last saw the deceased alive on 14 August 1953, and that death occurred at 11:40 p.m., from the causes and on the date stated above.
Date signed:  19 August 1953 
Address:  Stumbo M. Hospital, Lackey, Ky. 
Signature:  Giles L. Stephens, M.D. 
Burial, Cremation or Removal:  Burial
Date:  17 August 1953 
Name of Cemetery or Crematory:  Family Cemetery
Location:  Topmost, (Knott), Ky. 
Date received by local registrar:  19 August 1953 
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 09 February 2011