Date:   06 May 1941
Cert:   13045 
Place of Death: County: Knott     City or Town: Lackey
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Floyd
City or Town:  Wheelwright
Full Name:  Hattie JOHNSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, Colored, Widow
Husband or Wife of:  Will JOHNSON
Age of husband or wife if alive:  (blank)
Birth date of deceased:  (blank)
Age: 43 years
Birthplace:  Miss
Occupation:  Housewife
Industry or business: (blank)
Father Name:  WEATHERSPOON
Father Birthplace:  Don't know
Mother Maiden Name:  Don't know
Mother Birthplace:  Don't know
Informant:  Verbie MILLER, Wheelwright, Ky.
Burial Place:  Sylacauga, Ala.
Date:  11 May 1941
Signature of funeral director: J. L. Malone, Bypro, Ky.
Date received by local registrar:  13 May 1941
Registrar's Signature:  Macie Miller
Date of Death:  06 May 1941
I hereby certify that I attended deceased from 01 May 1941 to 06 May 1941, that I last saw h-- alive on 06 May 1941, and that death occurred on the date stated above at (blank)
Immediate cause of death:  Heart failure
Duration: (blank)
Due to: Fibroid Tumor of Uterus
Major findings of operations: Fibroid Tumor of Uterus
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: W. L. Stumbo, M.D., Lackey, Ky.
Date signed:  05 May 1941
Transcribed by Debbie Tamborski, 14 October 2010