Record #626 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	33
Certificate Number	–
Name of Deceased	Johnson, Beulah May
Place of Death	Somerset
Town of Death	Upper Fairmont
Sex	F
Race	Black
Married, Widowed, or Single	Single
Date of Birth	8/21/910
Age (year, month, days)	1 yr 3 mos
Occupation or Employer	None
Birthplace	Somerset Co
Father's Name	Samuel Johnson
Father's Birthplace	Md
Mother's Name	Sarah Collins
Mother's Birthplace	Md
Informant (Relationship and Address)	Samuel Johnson, Upper Fairmont
Date of Death	11/21/1911
Cause of Death and Time Attended by Doctor	Entero colitis, 3 mos
Immediate, Secondary, or Contributory Cause and How Long	–
Physician and Address	G.E. Dickinson, Upper Fairmont
Burial Place, Date, Undertaker, and Address	Church Cemetary 11/21/1911 Robert Wilson undertaker, Up. Fairmount, Md
Length of Residence, Where Disease Contracted, Former Residence	–
Other Notes	–

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[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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