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DEATH
CERTIFICATE
JACKSON JOHNSON
Date 24 October 1916
Cert: # 1986
Name: Jackson JOHNSON
Male, White, Single
Age: 01 years, 02 months, 07 days
Place of Death: Voting Precinct Caney, Knott Co., KY
Birth Date: 07 August 1915
Occupation: Nothing
Place of Birth: Ky.
Name of Father: Abisha JOHNSON
Birthplace Father: Ky.
Maiden Name of Mother: Mary SLONE
Birthplace Mother: Ky.
Informant: Abisha JOHNSON, Mallie, Ky.
Death Date: 24 October 1916
Cause of Death: Accidentally dropped by another child
Signed: (blank)
Burial Place: J. P. Slone Cemetery
Date of Burial: 25 October 1916
Undertaker: Abisha Slone, Mallie, Ky.
File Date: 25 January 1917
Transcribed by Debbie Tamborski, 13 November 2008 |
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