Date: 23 August 1943
Cert: 15259
Place of Death: County: Knott City or
Town: Sassafras
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Sassafras
Full Name: Bettie ASHLEY JOHNSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Divorced
Husband or Wife of: Leslie JOHNSON
Age of husband or wife if alive: (blank)
Birth date of deceased: Unknown
Age: about 40 years
Birthplace: Knott Co., Ky.
Occupation: Hswf.
Industry or business: (blank)
Father Name: Frank ASHLEY
Father Birthplace: Smithsboro, Ky.
Mother Maiden Name: Nancy SMITH
Mother Birthplace: Smithsboro, Ky.
Informant: Clifton WATTS, Sassafras, Ky.
Burial Place: Sassafras, Ky.
Date: 24 August 1943
Signature of funeral director: Friends - Engle, Hazard, Ky.
sold casket
Date received by local registrar: 23 March 1945
Registrar's Signature: Rose B. Craft, acting
Registrar, Per B. Carns
Date of Death: 23 August 1943
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: Apoplexy
Duration: (blank)
Due to: Found dead in the barn
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. R. Aker, M.D., Anco, Ky.
Date signed: 23 March 1945
Transcribed by Debbie Tamborski, 25 October 2010 |