Page (PDF) | 51 |
---|---|
Certificate Number | 16628 |
Name of Deceased | Johnson, Annie |
Place of Death | Wicomico |
Town of Death | Salisbury; PG Hospital |
Sex | F |
Race | Afro American |
Married, Widowed, or Single | married |
Date of Birth | 1894 no record |
Age (year, month, days) | abt 23 yrs |
Occupation or Employer | housewife |
Birthplace | VA |
Father's Name | George Bailey |
Father's Birthplace | Va |
Mother's Name | Ailsie Carmen |
Mother's Birthplace | Va |
Informant (Relationship and Address) | Edward A Johnson; Sheilds, Va |
Date of Death | 9/4/1917 |
Cause of Death and Time Attended by Doctor | utermine hemorrhage, caused by septicemia |
Immediate, Secondary, or Contributory Cause and How Long | exhaustion |
Physician and Address | DB Pottter; salisbury d |
Burial Place, Date, Undertaker, and Address | Painter VA; 9/565/1917; Holloway & co; Salisbury Md |
Length of Residence, Where Disease Contracted, Former Residence | 1/2 hrs; residence Painter Va |
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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