DEATH CERTIFICATE

JANE JOHNSON

Date   05 October 1919
Cert: #  28050
Name:  Jane JOHNSON
Female, White, Married
Age: something about 50
Place of Death: Voting Precinct #6, Knott Co., KY
Birth Date: Don't know
Occupation:  (blank)
Place of Birth:  Knott Co., Ky.
Name of Father:  Don't know
Birthplace Father:  (blank)
Maiden Name of Mother:  (blank)
Birthplace Mother:  (blank)
Informant:  James GIBSON, Smithsboro, Ky.
Death Date:  05 October 1919
Cause of Death:  paralisis
Signed:  (blank)
Burial Place:  Davis Franklins
Date of Burial:  06 October 1919
Undertaker:   James Gibson
File Date:  11 October 1919
Transcribed by Debbie Tamborski, 13 November 2008