Page (PDF) | 25 |
---|---|
Certificate Number | 6037 |
Name of Deceased | Johnson, Samuel |
Place of Death | Somerset |
Town of Death | Upper Fairmount |
Sex | M |
Race | colored |
Married, Widowed, or Single | widowed |
Date of Birth | unknown |
Age (year, month, days) | abt 74 yrs |
Occupation or Employer | farm laborer |
Birthplace | Somerset |
Father's Name | David Johnson |
Father's Birthplace | Somerset |
Mother's Name | Ima Johnson |
Mother's Birthplace | Somerset |
Informant (Relationship and Address) | Laura Maddox; Upper Fairmount |
Date of Death | 6/25/1914 |
Cause of Death and Time Attended by Doctor | chronic Bright's Disease; 0mos |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | GW Gill; Manokin Md |
Burial Place, Date, Undertaker, and Address | Manokin Md; June 26 1914; Hubert Wilson; Upper Fairmount |
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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