DEATH CERTIFICATE

HATTIE B. JOHNSON

Date 08 August 1930
Cert: #  20307
Name:  Hattie B. JOHNSON
Place of Death: Voting Pct. 15, Knott Co., KY
Female, Black, Child
Husband or Wife of:  Child
Birth Date:  24 June 1930
Age: 01 years, 01 months
Occupation:  Child
Place of Birth: Kentucky
Name of Father:  Tom JACKSON
Birthplace Father:  Georgia
Maiden Name of Mother:  Hattie FLINT
Birthplace Mother:  Georgia
Informant:  Tom JACKSON, Sassafras, Ky.
Death Date:  08 August 1930
Cause of Death:  (blank)
Signed:  (blank)
Burial Place:  Rose Hill Cemetery
Date of Burial:  10 August 1930
Undertaker:  Family, Wiscoal
File Date:  18 August 1930
Transcribed by Debbie Tamborski, 24 June 2009