| Page (PDF) | 25 |
|---|---|
| Certificate Number | 6037 |
| Name of Deceased | Johnson, Samuel |
| Place of Death | Somerset |
| Town of Death | Upper Fairmount |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | widowed |
| Date of Birth | unknown |
| Age (year, month, days) | abt 74 yrs |
| Occupation or Employer | farm laborer |
| Birthplace | Somerset |
| Father's Name | David Johnson |
| Father's Birthplace | Somerset |
| Mother's Name | Ima Johnson |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Laura Maddox; Upper Fairmount |
| Date of Death | 6/25/1914 |
| Cause of Death and Time Attended by Doctor | chronic Bright's Disease; 0mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GW Gill; Manokin Md |
| Burial Place, Date, Undertaker, and Address | Manokin Md; June 26 1914; Hubert Wilson; Upper Fairmount |
| 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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