DEATH CERTIFICATE

POLLY JOHNSON

Date    27 June 1914
Deathvol Vol:   1914
Cert: #  17141
Name:  Polly JOHNSON
Female, White, Single
Age:  1 years, 7 months, 1 days
Place of Death: Voting Pct. No. 7, Hollybush, Knott Co., KY
Birth Date:  26 November 1912
Place of Birth:  Knott County
Father:  Abisha JOHNSON                                                 Birthplace Father:  Knott County
Mother:  Mary SLONE                                                       Birthplace Mother:  Knott County
Informant:  Thomas JACOBS, Raven, Ky.
Death Date:  27 June 1914
Cause of Death:  (Blank)
Signed:  (Blank)
Burial Place:  J. P. Slone Cemetery
Undertaker:  John Johnson, Raven, Ky.
File Date: 15 August 1914
Transcribed by Debbie Tamborski, 27 July 2008