| Page (PDF) | 27 |
|---|---|
| Certificate Number | 2997 |
| Name of Deceased | Johnson, James Edw. |
| Place of Death | Somerset |
| Town of Death | Upper Fairmount |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 8/1918 |
| Age (year, month, days) | 6 mos |
| Occupation or Employer | none |
| Birthplace | N.Y. |
| Father's Name | Cyrus Johnson |
| Father's Birthplace | N.Y. |
| Mother's Name | Bertha Waters |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Sherman Waters; Upper Fairmount |
| Date of Death | 2/6/1919 |
| Cause of Death and Time Attended by Doctor | influenza; 10 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GW Gill; Manokin |
| Burial Place, Date, Undertaker, and Address | Upper Fairmount; 2/8/1919; Herbert Wilson; Up Fairmount |
| Length of Residence, Where Disease Contracted, Former Residence | 2 yrs 4 mos residencer |
| 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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