Date: 06 June 1954
Cert: 26523
Place of Death: County: Knott
City or Town: Rural (Topmost)
Length of stay (in this place): Life
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Topmost - Rural If rural give
location:
(blank)
Full Name: Gertrude JOHNSON
Date of Death: 06 June 1954
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 07 December 1928
Age: 25 years
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Ky.
Father's Name: Berlin JOHNSON
Mother's Maiden Name: Sarah Bell LITTLE
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: (blank)
Disease or condition directly leading to death: Bullett went
thru heart
Interval between onset and death: instant
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: Suicide
Place of injury: On hill
City or Town, County, State: Topmost, Knott, Ky.
Time of Injury: 06 June 1954, 12 a.m.
Injury occurred at work: Not while at work
How did injury occur: Self Inflicted Gun Shot
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 10 June 1954
Address: Hindman, Ky.
Signature: Jno. N. Taul (Funeral Director)
Burial, Cremation or Removal: Burial
Date: 08 June 1954
Name of Cemetery or Crematory: Family Cemetery
Location: Topmost, Ky.
Date received by local registrar: 24 February 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John N. Taul, Hindman
Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 24 February 2011 |