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DEATH
CERTIFICATE
HALEP JOHNSON
Date 09 June 1937
Cert: 19115
Name: Halep JOHNSON
Place of Death: Vot Pct. #19 Lackey, Stumbo M. Hosp., Knott
Co., KY
Residence: Melvin, Ky.
Length of residence: (blank)
Male, White, Married
Husband or Wife of: Husband
Birth Date: 09 October 1894
Age: 42 years, 07 months, 21 days
Occupation: Miner
Place of Birth: Floyd County
Name of Father: Kanis JOHNSON
Birthplace Father: Floyd
Maiden Name of Mother: Katie JOHNSON
Birthplace Mother: Floyd Co.
Informant: Martin JOHNSON, Weeksbury, Ky.
Death Date: 09 June 1937
Cause of Death: Death caused by falling off truck. Internal
injuries
Contributory: Crushed chest
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: Melvin, Ky.
Date of Burial: 11 June 1937
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 16 July 1937
Registrar: Dr. G. C. Collins, D.D.S., Lackey, Ky.
Transcribed by Debbie Tamborski, 03 October 2009 |
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