Page (PDF) | 25 |
---|---|
Certificate Number | x |
Name of Deceased | Henry, Robt James |
Place of Death | Worcester |
Town of Death | Pocomoke City |
Sex | M |
Race | Colored |
Married, Widowed, or Single | widow |
Date of Birth | 12/26/1912 |
Age (year, month, days) | 38yrs.0 mos 3 ds |
Occupation or Employer | none |
Birthplace | Maryland |
Father's Name | Robt Henry |
Father's Birthplace | Maryland |
Mother's Name | Lovey Waters |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Sarah Henry; Pocomoke City |
Date of Death | 12/26/1912 |
Cause of Death and Time Attended by Doctor | mental weakness due to epilepsy all life |
Immediate, Secondary, or Contributory Cause and How Long | inactive or refusal to take anything:: 10 ds |
Physician and Address | Rbt hall; Pocomoke city, Md |
Burial Place, Date, Undertaker, and Address | Pocomoke; 12/29/1912; ? ; Pocomoke |
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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