| Page (PDF) | 49 |
|---|---|
| Certificate Number | 15891 |
| Name of Deceased | Johnson, [not named] |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | 3 month child |
| Date of Birth | 10/21/1916 |
| Age (year, month, days) | premature birth 3 mos |
| Occupation or Employer | x |
| Birthplace | Somerset |
| Father's Name | Geo W Johnson |
| Father's Birthplace | Somerset |
| Mother's Name | Agnes Mullington |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Lizzie Wilson; Marion Md |
| Date of Death | 10/1/1916 |
| Cause of Death and Time Attended by Doctor | premature birth |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | George C Coulbourn; Marion Md |
| Burial Place, Date, Undertaker, and Address | AH Horner; 10/22/1916; Geo W Johnson; Marion |
| 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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