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From: "Myrna" <>
Subject: [CADI] Riverside County DCT: Jack Nathan Johnson
Date: Sun, 14 Oct 2001 00:25:27 -0700


Riverside County Death Certificate Transcription

Name: Jack Nathan Johnson
DOD/Time: 24 Sep 1989 @ 3:47 pm
Deathplace: Emergency Room @ Hemet Valley Medical Ctr,
DOB: 21 Nov 1921
Birthplace: Arkansas
Age: 67 y/o
Race/Color/Sex: Caucasian Male
Residence: 21100 Hwy 79, #295, San Jacinto, CA 92383
Yrs in County: 3 yr's
Occupation/Yrs: Truck Driver / 25 yr's
Employer: Unknown
Industry: Unknown
Education/yr's completed: 10 yr's
Military: Unknown
Citizen: USA
Soc. Sec.#: 431-22-4509
Marital Status: Married
Spouse: Jessie Edwards
Father: Jack Felix Johnson
Birthplace: Arkansas
Mother: Cora Minnie Seeley
Birthplace: Arkansas
Cause of Death: Acute Cardiopulmonary Arrest > 2 hr's
D/T: Upper Gastrointestinal Bleeding > 2 hr's
D/T: Chronic Liver Disease > 5 yr's
Treated- to/from: Sep 5 to 24, 1989
Last seen alive: 8 Sep 1989
Physician: Chao Hsu, MD
Address: 225 N. San Jacinto St., Hemet, CA 92343
Cremated/Sea: 4 Oct 1989
Place: 3 miles off Newport, CA coastline
Funeral Director: California Cremation Service
Informant: Joseph W. Johnson
Relationship: Son
Address: P.O. Box 5607, Canyon Lake, CA 92380
Date Filed: 3 Oct 1989
Book # 1989 Record # 7036

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This is a Death Certificate Transcription.
Please, if you would, post this information to
the appropriate Index below. Find the person,
hit add then cut and paste this information.

Thanx so much
Myrna DeerWalker ~ IBSSG
(3969 Pierce St., #511, Riverside, CA 92505)
Volunteer ~ Riverside County, CA
Birth, Marriage & Death Transcriptions
. . . and obits too!

California Death Index.
http://vitals.rootsweb.com/ca/death/search.cgi
California Birth Index
http://vitals.rootsweb.com/ca/birth/search.cgi

Vitalchek
http://www.vitalchek.com/

Riverside Co. Recorder Info:
http://www.asrclkrec.com

For Certified Copies:

Riverside County Recorders Office
P.O. Box 751
2724 Gateway Drive
Riverside, CA 92507

Information: 909.486.7000
Copy Section: 909-486-7044
Fax: 909.486.7050

Birth $16.00 (from 1893)
Marriage $13.00
Death $11.00


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