Record #5390 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	17
Certificate Number	0786
Name of Deceased	Johnson, Helen
Place of Death	Somerset
Town of Death	Deals Island
Sex	F
Race	B
Married, Widowed, or Single	single
Date of Birth	2/18/1910
Age (year, month, days)	10 yrs 11 mos 6 ds
Occupation or Employer	school
Birthplace	Md
Father's Name	John Johnson
Father's Birthplace	Md
Mother's Name	Cora Jones
Mother's Birthplace	Md
Informant (Relationship and Address)	John H Johnson; Deals Island Md
Date of Death	1/24/1921
Cause of Death and Time Attended by Doctor	pulmonary tuberculosis
Immediate, Secondary, or Contributory Cause and How Long	emaciation & exhaustion
Physician and Address	EP Simpson; Chance
Burial Place, Date, Undertaker, and Address	Deals Island; 1/29/1921; LG Webster; Deals Island
Length of Residence, Where Disease Contracted, Former Residence	–
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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Page (PDF) 39

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Page (PDF) 11

Certificate Number 17702

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