Date: 25 August 1946
Cert: 19918
Place of Death: County: Knott City or
Town: Pippapass, Ky. Rural
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Pippapass Rural
Full Name: Rhoda JOHNSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Shade JOHNSON
Age of husband or wife if alive: 76 years
Birth date of deceased: 16 January
Age: 70 years, 07 months, 09 days
Birthplace: Knott Co., Ky.
Occupation: Housewife
Industry or business: Domestic
Father Name: Gould CHILDERS
Father Birthplace: Kentucky
Mother Maiden Name: Betsy PRATT
Mother Birthplace: Kentucky
Informant: Miles JOHNSON, Pippapass, Ky.
Burial Place: Pippapass, Ky.
Date: 26 August 1946
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 26 September 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 25 August 1946
I hereby certify that I attended deceased from 12 August 1946 to
25 August 1946, that I last saw him alive on 25 August 1946,
and that death occurred on the date stated above at 10:00 a.m.
Immediate cause of death: Rheumatic Heart Disease
Duration: (blank)
Due to: Rheumatic Fever
Other conditions: Senility
Major findings of operations: None Of
Autopsy: None
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. S. Williams, M.D., Lackey, Ky.
Date signed: 26 September 1946
Transcribed by Debbie Tamborski, 08 December 2010 |