| Page (PDF) | 27 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Johnson, Elizebith |
| Place of Death | Worcester |
| Town of Death | Near Pocomoke |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Widow |
| Date of Birth | 5/31/1828 |
| Age (year, month, days) | 83 yrs 2 mos 6 days |
| Occupation or Employer | Domestic (Housewife) |
| Birthplace | Worcester Co |
| Father's Name | Elijah Lapper |
| Father's Birthplace | Accomac Va |
| Mother's Name | Ann Broadwater |
| Mother's Birthplace | Accomac Co Va |
| Informant (Relationship and Address) | Ella Ballard, New Chruch, Va |
| Date of Death | 9/12/1911 |
| Cause of Death and Time Attended by Doctor | Pined away and died without a physician |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Saml L. Quinn, M.D., Pocomoke City |
| Burial Place, Date, Undertaker, and Address | x |
| 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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