| Date: Mon Oct 30 14:46:09 2006 Email: [email protected] Submitter: Mary Hatton Death Volume: 1914 Certificate Number: 1041 Surname: JOHNSON Given Name: Mose Date of Death: 21 Jan 1914 Place of Death: Eastern State Hospital, Lexington, Fayette Co., Ky. Race or Color: Black Sex: Male Marital Status: Single Spouse's Name: Spouse's Age: Cause of Death: Pulmonary Tuberculosis Place of Burial: Bowling Green, Warren Co., Ky. Date of Burial: Jan 1914 Residence: Eastern State Hospital, Lexington, Fayette Co., Ky. Occupation: Hotel Porter Date of Birth: 1887 Age: 26 Birth Place: Kentucky Father's Name: James Johnson Father's Birth Place: No Record Mother's Name: Bettie Covington Mother's Birth Place: Ky. Informant: Eastern State Hospital Records Undertaker: Williams & Reed Comments and Corrections: Mose Johnson was a patient at Eastern State Hospital, Lexington, Fayette Co., Ky. for 16 days prior to his death. His usual place of residence was Lexington, Fayette Co., Ky. |