| Page (PDF) | 31 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Johnson, [no name] |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Single |
| Date of Birth | 11/-/1912 |
| Age (year, month, days) | 8 mos |
| Occupation or Employer | - |
| Birthplace | Somerset |
| Father's Name | J. C. Johnson |
| Father's Birthplace | Somerset |
| Mother's Name | Dona Jackson |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | J. T. Johnson, Marion |
| Date of Death | 7/12/1912 |
| Cause of Death and Time Attended by Doctor | No Dr in Attendance - Child always sickly |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | F. T. Adams, Reg |
| Burial Place, Date, Undertaker, and Address | Nr Marion 7/14/1912 A W Dixon undertaker, 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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