Record #5528 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	21
Certificate Number	6176
Name of Deceased	Johnson, Addie
Place of Death	Somerset
Town of Death	Fairmount
Sex	F
Race	negro
Married, Widowed, or Single	single
Date of Birth	8/4/1908
Age (year, month, days)	12 yrs 8 mos 17 ds
Occupation or Employer	none
Birthplace	Maryland
Father's Name	Wm M Johnson
Father's Birthplace	Maryland
Mother's Name	Ella Fields
Mother's Birthplace	Maryland
Informant (Relationship and Address)	Alphonso Johnson; Fairmount Md
Date of Death	4/21/1921
Cause of Death and Time Attended by Doctor	tuberculosis of lungs; 1 yrs
Immediate, Secondary, or Contributory Cause and How Long	–
Physician and Address	GE Dickinson; Upper Fairmouynt
Burial Place, Date, Undertaker, and Address	Centennial Church Yd; 4/23/1921; Herbert Wilson; Up Fairmount
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.

Similar Records in this Source

Name of Deceased Brown, Harold

Place of Death Worcester

Town of Death Near Pocomoke

Age (year, month, days) 2 mos 8 days

Occupation or Employer -

Date of Death -

Cause of Death and Time Attended by Doctor Coroner called when physician refused to give certificate

All Fields in This Record

Page (PDF) 9

Certificate Number –

Name of Deceased Brown, Harold

Place of Death Worcester

Town of Death Near Pocomoke

Sex F

Race Black

Married, Widowed, or Single -

Date of Birth 4/30/1911

Age (year, month, days) 2 mos 8 days

Occupation or Employer -

Birthplace Worcester County

Father's Name Thomas Brown

Father's Birthplace Maryland

Mother's Name Ella Fields

Mother's Birthplace Maryland

Informant (Relationship and Address) Kenney Brown, Father (died waiting doctor and called Justices)?

Date of Death -

Cause of Death and Time Attended by Doctor Coroner called when physician refused to give certificate

Immediate, Secondary, or Contributory Cause and How Long Cause of death Breaking down of the Bowls

Physician and Address Allen Robinson, Justice of Peace, Pocomoke City, Md, Acting Coroner

Burial Place, Date, Undertaker, and Address Polks Creek 7/9/1911 Chas Ballard undertaker, Pocomoke

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

Click on a field to move that field into top summary row for all records in this source.

View Record

Name of Deceased Brown, [ not named]

Place of Death Worcester

Town of Death Near Pocomoke

Age (year, month, days) 1 days

Occupation or Employer -

Date of Death -

Cause of Death and Time Attended by Doctor Still born

All Fields in This Record

Page (PDF) 3

Certificate Number –

Name of Deceased Brown, [ not named]

Place of Death Worcester

Town of Death Near Pocomoke

Sex F

Race Black

Married, Widowed, or Single Single

Date of Birth 5/21/1912

Age (year, month, days) 1 days

Occupation or Employer -

Birthplace Near Pocomoke

Father's Name Thomas Brown

Father's Birthplace Md

Mother's Name Ella Fields

Mother's Birthplace Md

Informant (Relationship and Address) Thos Brown, Pocomoke

Date of Death -

Cause of Death and Time Attended by Doctor Still born

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Ephraim Hillman, sub registrar, Pocomoke

Burial Place, Date, Undertaker, and Address Unionville 5/21/1912 Chas Ballard undertaker, Pocomoke

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

Click on a field to move that field into top summary row for all records in this source.

View Record

Prev. Record in Source

Next Record in Source

About Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922

Print Record

Original Unavailable