Date: 18 February 1951
Cert: 10234
Place of Death: County: Knott
City or Town: Rural Lackey
Length of stay (in this place): 10 hour
Name of Hospital or Institution: Stumbo Memorial
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Hueysville Street Address:
(blank)
Full Name: Meridie JOHNSON
Date of Death: 18 February 1951
Sex, Color or Race, Marital Status: Female, White, Infant
Date of Birth: 16 June 1947
Age: 03 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Hueysville, Ky.
Father's Name: Charles JOHNSON
Mother's Maiden Name: Anace VANHOOSE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Charles JOHNSON
Disease or condition directly leading to death: Laryngeo
(illegible) bronchitis
Interval between onset and death: 02 days
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 17 February
1951 to
18 February 1951, that I last saw the deceased alive on 18
February 1951, and
that death occurred at 1:00 a.m., from the causes and on the
date stated above.
Date signed: 19 February 1951
Address: Lackey, Ky.
Signature: Martha A. Loving, M.D.
Burial, Cremation or Removal: Burial
Date: 19 February 1951
Name of Cemetery or Crematory: Hueysville, Ky.
Location: 28 April 1951
Date received by local registrar:
Registrar's Signature: Rose B. Craft
Funeral director & address: David Cook, Lackey, Ky.
Transcribed by Debbie Tamborski, 21 January 2011 |