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Date: Mon Oct 30 14:46:09 2006
Email: mahat@adelphia.net
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.