Record #4128 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	99
Certificate Number	34958
Name of Deceased	Johnson, Hollie
Place of Death	Somerset
Town of Death	Westover
Sex	F
Race	col
Married, Widowed, or Single	single
Date of Birth	1/12/1913
Age (year, month, days)	5 yrs 8 mos 20 ds
Occupation or Employer	child
Birthplace	Maryland
Father's Name	Samuel Johnson
Father's Birthplace	Marion Md
Mother's Name	Sarah? Collins
Mother's Birthplace	Md
Informant (Relationship and Address)	Sam Johnson; Westover
Date of Death	10/2/1918
Cause of Death and Time Attended by Doctor	lagrippe; bronchio pneumonia; 7 ds
Immediate, Secondary, or Contributory Cause and How Long	–
Physician and Address	George C Coulbourn; Marion
Burial Place, Date, Undertaker, and Address	Curtis Chapel; 10/4/1918; Herbert Wilson; Up Fairmount
Length of Residence, Where Disease Contracted, Former Residence	5 yrs 8 mos 20 ds
Other Notes	–

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[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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