| Page (PDF) | 21 |
|---|---|
| Certificate Number | 956 |
| Name of Deceased | Johnson, Robert |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | married |
| Date of Birth | 1879 |
| Age (year, month, days) | 34 yrs |
| Occupation or Employer | clerk / grocery store |
| Birthplace | Worcester Co |
| Father's Name | Robert Johnson |
| Father's Birthplace | Somerset Co |
| Mother's Name | Marah Boyer |
| Mother's Birthplace | Somerset Co |
| Informant (Relationship and Address) | Samuel A Long; Pocomoke Md |
| Date of Death | 1/11/1913 |
| Cause of Death and Time Attended by Doctor | tuberculosis of lungs 2 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | NE Sartorius; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Hall Hill; 1/13/1913; Chas Ballard; Pocomoke |
| 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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