| Page (PDF) | 21 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Johnson, George Samuel |
| Place of Death | Wicomico |
| Town of Death | Mardela |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | S |
| Date of Birth | 10/28/1909 |
| Age (year, month, days) | 1 yrs 9 mos 3 days |
| Occupation or Employer | - |
| Birthplace | Maryland |
| Father's Name | Samuel E. Johnson |
| Father's Birthplace | Maryland |
| Mother's Name | Nellie V Jones |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Samuel G Johnson, Mardela Springs, Md |
| Date of Death | 2/11/1911 |
| Cause of Death and Time Attended by Doctor | Accidental, Burnt to death |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Isaac L. English, Coroner, Mardela spgs, MD |
| Burial Place, Date, Undertaker, and Address | Near Mardela, Md 2/13/1911 A.L. Seabrease undertaker, Mardela, Md |
| Length of Residence, Where Disease Contracted, Former Residence | – |
| Other Notes | accident |
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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