Date:    11 October 1947
Cert:    22635 
Place of Death: County: Knott   City or Town: Cody, Ky.  Rural
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:  Cody     Rural 
Full Name:  George JOHNSON 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Widowed
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  June 1875  
Age:  72 years, 04 months, 00 days
Birthplace:  Knott County 
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  Feldon JOHNSON 
Father Birthplace:  Kansas 
Mother Maiden Name:   Sara DOTSON 
Mother Birthplace:   Kansas 
Informant:  Joe JOHNSON, Cody, Ky. 
Burial Place:   Cody (Knott) 
Date:  13 October 1947 
Signature of funeral director:  Engles, Hazard, Ky.
Date received by local registrar:  27 October 1947 
Registrar's Signature:  Rose B. Craft
Date of Death:  11 October 1947 
I hereby certify that I attended deceased from 25 September 1947 to 04 October 1947, that I last saw him alive on 04 October 1947, and that death occurred on the date stated above at 7:20 p.m.
Immediate cause of death:  Lobar pneumonia
Duration: 01 week
Due to:  Cardio vascular renal disease
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:  Carl Pigman, M.D., Whitesburg, Ky.
Date signed: 15 October 1947 
Transcribed by Debbie Tamborski, 18 December 2010