DEATH CERTIFICATE

MARY JOHNSON

Date:    28 April 1945
Cert:    04588 
Place of Death: County: Knott   City or Town: Pippapass, Ky.  Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  (blank) 
Full Name:  Mary JOHNSON 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:   Female, White, Widow
Husband or Wife of:  Abisha JOHNSON
Age of husband or wife if alive:  Deceased
Birth date of deceased:  13 December 1878 
Age:  66 years, 04 months, 15 days
Birthplace:  Knott Co., Ky. 
Occupation:  House wife 
Industry or business:  (blank)
Father Name:  James P. SLONE 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:   Katherine SLONE 
Mother Birthplace:   Knott Co., Ky. 
Informant:  Susie J. SLONE, Pippapass 
Burial Place:   Jimmy Slone Cem.
Date:   29 April 1945 
Signature of funeral director:  None 
Date received by local registrar: 16 January 1946 
Registrar's Signature:  Rose B. Craft
Date of Death:  28 April 1945 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Pneumonia 
Duration: (blank)
Due to:  Cold
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  J. W. Duke, M.D., Hindman
Date signed:  28 January 1946 
Transcribed by Debbie Tamborski, 29 November 2010