Page (PDF) | 31 |
---|---|
Certificate Number | – |
Name of Deceased | Johnson, Christiana Elizabeth |
Place of Death | Somerset |
Town of Death | Fairmount |
Sex | F |
Race | Blk |
Married, Widowed, or Single | M |
Date of Birth | 1/4/1905 |
Age (year, month, days) | 80 yrs |
Occupation or Employer | Housewife |
Birthplace | Somerset |
Father's Name | Anderson Briggs |
Father's Birthplace | Somerset |
Mother's Name | Elizabeth Dickerson |
Mother's Birthplace | Somerset |
Informant (Relationship and Address) | James E. Johnson, Fairmount, Md |
Date of Death | 1/21/1911 |
Cause of Death and Time Attended by Doctor | chronic dearrhoea and complicatons of disease, 7 months |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Edward S. Miles, M.D. Up Fairmount |
Burial Place, Date, Undertaker, and Address | Back Creek Cemetery, Jan 23, 1911 H.S. Wilson, undertaker Up Fairmount, Md |
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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