DEATH CERTIFICATE

Unnamed (Stillbirth) JOHNSON

Date  22 January 1937
Cert:  2024
Name:  Unnamed (Stillbirth) JOHNSON
Place of Death: Voting Pct. Upper Caney, Pippapass, Knott Co., KY
Residence:  (blank)
Length of residence: (blank)
Female, White, Single
Husband or Wife of:  (blank)
Birth Date:  22 January 1937
Age: (blank)
Occupation:  nothing
Place of Birth: Knott Co., Ky.
Name of Father:  Squint JOHNSON, Jr.
Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Cloe ADAMS
Birthplace Mother:  Knott Co., Ky.
Informant:  (blank)
Death Date:  22 January 1937
Cause of Death:  Deformity of legs and feet.  Stillbirth
Signed: Dora Bell Gibson, Midwife, Pippapass, Ky.
Burial Place:  J. P. Slone Grave
Date of Burial:  23 January 1937
Undertaker:  (blank)
File Date:  (blank)
Registrar:  (blank)
Transcribed by Debbie Tamborski, 03 October 2009