Johnie Mae McCullough, Vernon Parish Louisiana
Submitted by Bill McCullough
Date: October 2008

************************************************
Copyright.  All rights reserved.
http://www.usgwarchives.net/copyright.htm
http://www.usgwarchives.net/la/lafiles.htm
************************************************

Louisiana State Board of Health
Bureau of Vital Statistics
Certificate of Death
Registration District No.: 6-2038
File No: 55
Primary Registration District No.: 
Registered No.: 141

Place of Death
Parish: Beauregard
Township: Blank
Village: Blank
City: DeRidder

Full Name: Johnie Mae McCullough

Personal and Statistical Particulars
Sex: Female
Race: White
Single Married Widowed or Divorced: Single
Date of Birth: Blank
Age: 3 yrs
Occupation: Child
Birthplace: DeRidder, La.
Name of Father: Geo. McCullough
Birthplace of Father: La.
Maiden Name of Mother: Mary Barnhill
Birthplace of Mother: Texas
The above is true to the best of my knowledge
Informant: Geo. McCullough
Address: DeRidder, La
Filed: 1/8, 1940
Registar: N.C. Roberts

Medical Certificate of Death
Date of Death: 1/7 1940
I Hereby Certify, that I attended deceased from Jan 14th 193? to 
Jan 7 1940 that I last saw him alive on Jan 17, 1940, death is 
occurred, on the date stated above at 9 pm. The principal cause of
death and related causes of importance in order of onset were as
follows:  Labor Pneumonia
(Signed) J.D. Froz??? M.D.
(Address) DeRIdder, La.
Place of Burial or Removal: DeRidder
Date of Burial: 1/8 1940
Undertaker: Roberts Funeral Home
Address: DeRidder, La.