| Page (PDF) | 19 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Johnson, Henry |
| Place of Death | Worcester |
| Town of Death | Box Iron Md |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | Married |
| Date of Birth | 1831 |
| Age (year, month, days) | 51 yrs |
| Occupation or Employer | Farmer |
| Birthplace | Maryland |
| Father's Name | Don't know |
| Father's Birthplace | Don't know |
| Mother's Name | Sallie Collick |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Ennis J. Johnson, Girdletree Hill, Md |
| Date of Death | 6/6/1912 |
| Cause of Death and Time Attended by Doctor | Senile Dibility, 1 yr |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | John L. Riley, M.D. Snow Hill, Md |
| Burial Place, Date, Undertaker, and Address | Scoolspring Cemetery 6/6/1912 William S. Williams undertaker, Snow Hill 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.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.