| Page (PDF) | 51 |
|---|---|
| Certificate Number | 17875 |
| Name of Deceased | Johnson, Agnes Elizabeth |
| Place of Death | Somerset |
| Town of Death | Hopewell, Md |
| Sex | F |
| Race | negro |
| Married, Widowed, or Single | single |
| Date of Birth | 3/14/1915 |
| Age (year, month, days) | 6 mos 29 ds |
| Occupation or Employer | not any |
| Birthplace | Hopewell, Md |
| Father's Name | Mr. John David Johnson |
| Father's Birthplace | Hopewell, Md |
| Mother's Name | Maggie Ward |
| Mother's Birthplace | Pocomoke city |
| Informant (Relationship and Address) | Mrs. Maggie S. Johnson; Hopewell, Md |
| Date of Death | 10/13/1915 |
| Cause of Death and Time Attended by Doctor | gastro-enteritis |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | WM Barkley; 309 W Md Ave Crisfield |
| Burial Place, Date, Undertaker, and Address | Hopewell; 10/14/1915; Garnett O Brown; 215 N 4th St |
| 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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