Page (PDF) | 5 |
---|---|
Certificate Number | x |
Name of Deceased | Belote, John |
Place of Death | Wicomico |
Town of Death | Salisbury |
Sex | M |
Race | Colored |
Married, Widowed, or Single | Single |
Date of Birth | - |
Age (year, month, days) | abt 18 |
Occupation or Employer | office boy |
Birthplace | Accomac Co., Va |
Father's Name | don't know |
Father's Birthplace | Don't know |
Mother's Name | Emma Beloate |
Mother's Birthplace | Don't know |
Informant (Relationship and Address) | J.Brooks Mapp; Keller, Va |
Date of Death | 12/27/1912 |
Cause of Death and Time Attended by Doctor | tetanus 12/14/192-12/27/1912 |
Immediate, Secondary, or Contributory Cause and How Long | gun shot wound of leg |
Physician and Address | J W - ; Salisbury, Md |
Burial Place, Date, Undertaker, and Address | Shipped to Keller Va by Geo E Hill; Salisbury |
Length of Residence, Where Disease Contracted, Former Residence | 13 ds; formerly Accomack Va |
Other Notes | accidental |
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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