Page (PDF) | 21 |
---|---|
Certificate Number | 1167 |
Name of Deceased | Johnson or Williams, [not named] |
Place of Death | Somerset |
Town of Death | Marion |
Sex | M |
Race | col |
Married, Widowed, or Single | infant |
Date of Birth | 1/25/1918 |
Age (year, month, days) | still born |
Occupation or Employer | x |
Birthplace | Somerset |
Father's Name | Herman Williams |
Father's Birthplace | Somerset |
Mother's Name | Ada Johnson |
Mother's Birthplace | Maryland; Somerset |
Informant (Relationship and Address) | Ada Johnson; Marion Md |
Date of Death | not known |
Cause of Death and Time Attended by Doctor | child born dead 1/25/1918 |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | George C Coulbourn; Marion Md |
Burial Place, Date, Undertaker, and Address | Mt Pier; 1/25/1918; 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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