| Page (PDF) | 37 |
|---|---|
| Certificate Number | 13128 |
| Name of Deceased | Johnson, baby |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | x |
| Date of Birth | 7/16/19120 |
| Age (year, month, days) | borned dead |
| Occupation or Employer | infant |
| Birthplace | Md |
| Father's Name | Sam H Johnson |
| Father's Birthplace | Maryland |
| Mother's Name | Ollie G Fountain |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Sam H Johnson; Marion |
| Date of Death | x |
| Cause of Death and Time Attended by Doctor | 8 mos child; eclamptic convulsion of mother |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Geo C Coulbourn; Marion |
| Burial Place, Date, Undertaker, and Address | Library M E Church; 7/18/1920; Tilghman & Ward; Marion Md |
| 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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