| Page (PDF) | 27 |
|---|---|
| Certificate Number | 11524 |
| Name of Deceased | Johnson, Samwish? Thos |
| Place of Death | Somerset |
| Town of Death | Marion Station |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 8/1/1902 |
| Age (year, month, days) | 14 yrs 5 ds |
| Occupation or Employer | at home |
| Birthplace | Md |
| Father's Name | John A Johnson |
| Father's Birthplace | Md |
| Mother's Name | Aurela Dixon |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | John A Johnson Jr; Marion |
| Date of Death | 8/6/1916 |
| Cause of Death and Time Attended by Doctor | accidental drowning; while in bathing |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Mortimor a Ward; JP; Marion |
| Burial Place, Date, Undertaker, and Address | Wesley's; 8/7/1916; Tilghman & Ward; 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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