| Page (PDF) | 15 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Johnson, Mary |
| Place of Death | Wicomico |
| Town of Death | Salisbury |
| Sex | F |
| Race | Negro |
| Married, Widowed, or Single | Single |
| Date of Birth | 3/5/1891 |
| Age (year, month, days) | 20 yrs 9 mos 5 days |
| Occupation or Employer | Housework |
| Birthplace | Wicomico Co., Md |
| Father's Name | Noah Johnson |
| Father's Birthplace | Maryland |
| Mother's Name | Laura Brewington |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Mrs Amelia Ryall, Fruitland |
| Date of Death | 12/9/1911 |
| Cause of Death and Time Attended by Doctor | Pneumonia, 15 days |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | H Tull, M.D. , Salisbury |
| Burial Place, Date, Undertaker, and Address | Fruitland Md 12/11/1911 Geo. C. Hill undertaker, Salisbury, 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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