DEATH CERTIFICATE

C. J. JOHNSON

Date 06 January 1936
Cert:  14205
Name:  C. J. JOHNSON
Place of Death: Voting Pct. Lower Ball, Knott Co., KY
Residence:  Talcum, Ky.
Length of residence: 76 yrs.
Male, White, Married
Husband or Wife of:  Has a wife
Birth Date:  06 January 1860
Age: 76 years
Occupation:  Farmer
Place of Birth: Perry Co., Ky.
Name of Father:  John JOHNSON
Birthplace Father:  Perry Co., Ky.
Maiden Name of Mother:  do not know
Birthplace Mother:  (blank)
Informant:  James RICHIE
Death Date:  06 January 1936
Cause of Death:  Senility
Signed:  no doctor in attendance
Burial Place:  Richie
Date of Burial:  14 January 1936
Undertaker:  Isaace Richie
File Date:  20 March 
Registrar:  J. D. Martin 
Transcribed by Debbie Tamborski, 19 September 2009