| Page (PDF) | 27 |
|---|---|
| Certificate Number | x |
| Name of Deceased | Horsey, no name |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | - |
| Date of Birth | 12/22/1912 |
| Age (year, month, days) | 2 hrs |
| Occupation or Employer | - |
| Birthplace | Pocomoke |
| Father's Name | Charles Horsey |
| Father's Birthplace | unknown |
| Mother's Name | Hester Horsey |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Walter W. Johnson; Pocoomoke |
| Date of Death | 12/22/1912 |
| Cause of Death and Time Attended by Doctor | Still born; had no physician |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Ephraim Hillman Local Req, Pocomoke, Md |
| Burial Place, Date, Undertaker, and Address | Halls Hill; 12/23/1912; Chas Ballard; 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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