Date: 07 October 1951
Cert: 20840
Place of Death: County: Knott
City or Town: Hall
Length of stay (in this place): Life
Street address or location: Home
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Hall, Ky. Street
Address: Hall, Ky.
Full Name: Virgie JOHNSON
Date of Death: 07 October 1951
Sex, Color or Race, Marital Status: Female, White, Infant
Date of Birth: 15 August 1951
Age: 01 months, 22 days
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Hall, Ky.
Father's Name: Ellison JOHNSON
Mother's Maiden Name: Cordelia FOUTS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Ellison JOHNSON
Disease or condition directly leading to death: Abscess of
Brain
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 12 October 1951
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 08 October 1951
Name of Cemetery or Crematory: Family Cemetery
Location: Hall, Ky.
Date received by local registrar: 12 October 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Cook & Hopkins, Estill,
Ky.
Transcribed by Debbie Tamborski, 21 January 2011 |