| Page (PDF) | 34 |
|---|---|
| Certificate Number | 0980 |
| Name of Deceased | [Johnson], no name |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | x |
| Date of Birth | 12/27/1920 |
| Age (year, month, days) | 10 ds |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Daniel Johnson |
| Father's Birthplace | Maryland |
| Mother's Name | Charlotte Johnson |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Daniel Johnson; Berlin Md |
| Date of Death | 1/6/1921 |
| Cause of Death and Time Attended by Doctor | no physician attended |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | ML Hooway registrar; Berlin Md |
| Burial Place, Date, Undertaker, and Address | Pitts Cemetary; 1/7/1921; JW Burbage & Sons; Berlin 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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