|Date: Mon Oct 30 14:46:09 2006
Submitter: Mary Hatton
Death Volume: 1914
Certificate Number: 1041
Given Name: Mose
Date of Death: 21 Jan 1914
Place of Death: Eastern State Hospital, Lexington, Fayette Co., Ky.
Race or Color: Black
Marital Status: Single
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
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.