DEATH CERT: John Thomas Johnson, 1991 Spender County, KY ************************************************************************ USGENWEB ARCHIVES NOTICE: These electronic pages may NOT be reproduced in any format for profit or presentation by any other organization or persons. Persons or organizations desiring to use this material, must obtain the written consent of the contributor, or the legal representative of the submitter, and contact the listed USGenWeb archivist with proof of this consent. The submitter has given permission to the USGenWeb Archives to store the file permanently for free access. http://www.usgwarchives.net Transcribed by: Michelle Armstrong makarmstrong@email.msn.com Date: 1 Aug 1999 *********************************************************************** Commonwealth of Kentucky Department for Health Servicies Registrar of Vital Statistics Certificate of Death Registrar's # 0164?1 Decedent's full name John Thomas Johnson Sex Male Date of Death June 21 1991 Social Security Number 407-50-4117 Age 67 Date of Birth August 25, 1923 Birthplace Spencer County, Kentucky Was decedent ever in U. S. Armed Forces? Yes Hospital Inpatient Baptist Hospital East Louisville, Kentucky Jefferson County, Kentucky Married Wife Beulah Cunningham Occupation Farmer Kind of Business Farm Residence Kentucky County Spencer City Taylorsville Street Route 4 Box 45 Unside city limits? No Zip Code 40071 Race White Decedent's Education 9th Grade Father Derice Johnson Mother Rebecca Jones Johnson Informant Beulah Johnson Burial Valley Cemetery Spencer County, Kentucky Funeral Service Licensee Clay S. Foreman Foreman Funeral Home 10600 Taylorsville Road Louisville, Kentucky To the best of my knowledge, death occurred at the time, date and place and due to the causes stated: Daniel C. Scullin, Jr. M.D. Suite 111 4003 Kresge Way Louisville, Kentucky 40207 Date signed July 2, 1991 Immediate cause of death Respirtory Failure, pneumonia, Hodgskin's disease. Chronic obstruction pulmonary disease. Registrar's Signature Robert N. Hurst, III Signed July 8, 1991