Page (PDF) | 43 |
---|---|
Certificate Number | 9737 |
Name of Deceased | Johnson, [not named] |
Place of Death | Somerset |
Town of Death | Marion |
Sex | F |
Race | col |
Married, Widowed, or Single | x |
Date of Birth | 6/16/1921 |
Age (year, month, days) | 5 mos premature |
Occupation or Employer | x |
Birthplace | Md |
Father's Name | John T Johnson |
Father's Birthplace | Maryland |
Mother's Name | Clara Rounds |
Mother's Birthplace | Md |
Informant (Relationship and Address) | Jno T Johnson; Marion Md |
Date of Death | 6/16/1921 |
Cause of Death and Time Attended by Doctor | premature 5 mos born dead |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | George C Coulbourn; Marion |
Burial Place, Date, Undertaker, and Address | Marumsco Md; 6/17/1921; Jno Johnson; Marion Md |
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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