| Page (PDF) | 55 |
|---|---|
| Certificate Number | 11943 |
| Name of Deceased | Johnson or Jarrell [not named] |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | infant |
| Date of Birth | 7/13/1917 |
| Age (year, month, days) | 2 ds |
| Occupation or Employer | Somerset |
| Birthplace | Somerset |
| Father's Name | John Jarrell |
| Father's Birthplace | Somerset |
| Mother's Name | Ethel Johnson |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Joshua Johnson; Marion Md |
| Date of Death | 7/15/1917 |
| Cause of Death and Time Attended by Doctor | convulsions |
| Immediate, Secondary, or Contributory Cause and How Long | don't know |
| Physician and Address | IAB Allen; Marian Md |
| Burial Place, Date, Undertaker, and Address | near house; 7/16/1917; AF Wilson; 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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