DEATH CERTIFICATE

TOM JOHNSON

Date  10 December 1922
Cert: #  27764 
Name:  Tom JOHNSON 
Place of Death: Voting Pct. Dry Creek, Knott Co., KY
Male, White, Married
Birth Date:  10 December 1870 
Age:  52 years, 00 months, 00 days
Occupation:  (D??l?) Mdse.
Place of Birth:  Floyd Co.
Name of Father:  Lish JOHNSON 
Birthplace Father:  Floyd Co. 
Maiden Name of Mother:  Liza BATES
Birthplace Mother:  Knott Co. 
Informant:  Henry HALL, Jr., Dry Creek, Ky.
Death Date:  10 December 1922 
Cause of Death:  Shot and killed instantly 
Signed:  (blank)
Burial Place:  Tom Johnson Cemetery 
Date of Burial:  11 December 1922 
Undertaker:  Henry Hall, Jr., Dry Creek, Ky. 
File Date:  10 December 1922 
Transcribed by Debbie Tamborski, 14 January 2009