Death Certificate: Malissa Johnson, Vernon Parish, LA
Submitted by Donna Parrott



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Louisiana State Board of Health
Bureau of Vital Statistics
Certificate of Death

1 - PLACE OF DEATH
Parish  Vernon
Police Jury Ward  5
Village or City  Pitkin

Registration District No. _______ File No.  24
March 17, 1924         Registered  2454

2. FULL NAME  Malissa Johnson

PERSONAL AND STATISTICAL PARTICULARS
3. SEX  Female
4. COLOR OR RACE  White
5. SINGLE, MARRIED, WIDOWED  Widow
5a. WIDOW OF  William Johnson
6. DATE OF BIRTH  Nov 15, 1838
7. AGE  85 years  3 months  0 days
8. OCCUPATION OF DECEASED  Housekeeping
9. BIRTHPLACE  Comrad, La
10. NAME OF FATHER  Thomas Goins
11. BIRTHPLACE OF FATHER  Miss
12. MAIDEN NAME OF MOTHER  Fannie Nash
13. BIRTHPLACE OF MOTHER  La
14. INFORMANT  W.T. Dunn, Pitkin, La
15. FILED  2-18-1924 by Lizzie Pittman, Registar
16. DATE OF DEATH 2-15-24
17. CAUSE OF DEATH  Senility 
18. SIGNED  M.V. Hargrove, M.D., Oakdale, La
19. PLACE OF BURIAL  *Walter Cloud Cemetery, 2-16-24
20. UNDERTAKER  None   

*Walter Cloud Cemetery now called Oak Hill Cemetery in 
Allen Parish, LA