DEATH CERTIFICATE

ROCKSEYAN JOHNSON

Date  10 March 1921
Cert: #  8394
Name:  Rockseyan JOHNSON
Place of Death: Voting Pct. Hindman, Knott Co., KY
Female, White, Married
Birth Date:  05 May 1894 
Age:  26 years, 09 months, 05 days
Occupation:  Housewife
Place of Birth:  Knott Co., Ky.
Name of Father:  Duff MULLENS 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Jane PRIDEMORE
Birthplace Mother:  Kentucky 
Informant:  (blank)
Death Date:  10 March 1921 
Cause of Death:  Heart failure 
Signed:  M. F. Kelley, M.D. 
Burial Place:  Watts Cemetery 
Date of Burial:  11 March 1921 
Undertaker:  Ben Johnson, Brinkley, Ky. 
File Date:  01 May 1921 
Transcribed by Debbie Tamborski, 14 January 2009