Her death certificate records Mrs. Vivian A. Johnston, age 36 years 11 days, born 22 Aug 1898 in Rowan Co., Ky, died 2 Sep 1934 at Waverly Hills Sanatorium, N. Valley precinct, Jefferson Co., Ky, residence 2727 Bank St., widowed, occupation bookkeeper, father I. H. Alfrey, mother’s maiden name Dora May, both born in Ky, cause of death pulm tuberculosis, informant Waverly Hills San., burial in Lebanon, Ky.

The middle initial “A” probably stands for Alfrey, since the 1910 census shows Vivian’s middle initial as M.

1930 census of Jefferson Co., Ky, district 4, enumerated 7 April, lists on p. 4A as a patient at Waverly Hills Tuberculosis Sanatorium:
Johnston, Vivian, 31, widowed, b. Ky Ky Ky.