Rootwalker--Death Certificate for Ammon Johnson 08-16-1917

Rootwalker
Genealogy Pages for Northern Middle TN
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Death Certificate for Ammon JOHNSON

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Following is a transcription of the above person's (TN) death certificate:

Place of Death: County: Robertson, Civil Dist.: 4th, Reg. Dist.: 47504
     File No.: 11
Full Name: Ammon JOHNSON
Sex: male     Race: white     Marital Status: Single
Date of Birth: 04/11/1900
Age: 17 yrs. 4 mos. 5 ds.
Occupation: Farmer
Birthplace: Logan Co., Ky
Name of Father: Allen JOHNSON
Birthplace of Father: Putnam Co., Tenn.
Maiden Name of Mother: Jaynie RUSSELL
Birthplace of Mother: Putnam Co., Tenn.
Informant: Albert JOHNSON     Address: Springfield, R. R. 2
Filed: 08/23/1917     R. A. Poor, Registrar
Date of Death: 08/16/1917
The physician attended him from 1917 to 08/16/1917
     and last saw him alive on 08/16/1917
Death occurred on date above at 7 pm
Cause of Death: Malignant Eudocardites     Duration: ? mos. 2 ds.
     Contributory: Abscess Spleen  (illegible)     Duration: 8 ds.
Signed: R. L. Mathews, M. D.     Date: 08/17/1917     Address: Springfield, Tn
Place of Burial: Springfield, Tenn.     Date of Burial: 08/17/1917
Undertaker: Joe Henry     Address: Springfield, Tenn.



This page was created on 01/07/2003 and last updated on 01/01/2004.
� 2004 Stan Magnesen