Personal Information Full Name Johnson, Jim Notable Last Name Johnson First Name Jim Middle Name Suffix Prefix Maiden Name Time lived in city Address 842 West 17th Occupation Laborer Age at Death 75 Dates Date of Birth 6/ 19/ 1845 Date of Death 10/11/1920 Locations Hospital Birthplace Georgia Father's Birthplace Georgia Mother's Birthplace Burial Death Certificate Y Cause of Death Homicide - blow on head Undertaker E Jackson Plot# Inscription Family Spouse's Name Marital Status M Father's Name Johnson, Jim Mother's Name ,