| Notes |
- Vitals - February 12, 1916 - stillbirth. Date of birth February 12, 1916, born in Pulaski, New York. Sex, male; race, white. Name of father, Albert J. Johnson, born in New York. Name of mother, Grace Hazel Reynolds, born in New York. Cause of death, premature birth at 5 1/2 months of intro uterus life, contributed by death of fetus probably two weeks before birth, cause unknown. Signed by Fred L. Ritter, M.D., February 12, 1916, Pulaski, New York. Place of burial, Pulaski cemetery, February 13, 1916.
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