| Page (PDF) | 39 |
|---|---|
| Certificate Number | x |
| Name of Deceased | Johnson, Bernice L |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | F |
| Race | B. |
| Married, Widowed, or Single | single |
| Date of Birth | 3/21/1905 |
| Age (year, month, days) | 5 + yrs |
| Occupation or Employer | - |
| Birthplace | Somerset Co |
| Father's Name | Fletcher Johnson |
| Father's Birthplace | Crisfield, Md |
| Mother's Name | Ellen Collins |
| Mother's Birthplace | Crisfield |
| Informant (Relationship and Address) | Fletcher Johnson; Crisfield |
| Date of Death | 11/6/1912 |
| Cause of Death and Time Attended by Doctor | chronic (illegible) |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | W. F. Hill Crisfield |
| Burial Place, Date, Undertaker, and Address | Lawsonia 11/8/1912 R.J. Adams Crisfield |
| Length of Residence, Where Disease Contracted, Former Residence | – |
| Other Notes | – |
If you are citing this record, please use the following format:
[Author (if known)], Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922, [Date (if known)], Enduring Connections: Exploring Delmarva’s Black History, Nabb Research Center, Salisbury University.
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