| Page (PDF) | 45 |
|---|---|
| Certificate Number | 810 |
| Name of Deceased | Smith, infant |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Single |
| Date of Birth | 1/26/1913 |
| Age (year, month, days) | - |
| Occupation or Employer | - |
| Birthplace | Maryland |
| Father's Name | Levin Smith |
| Father's Birthplace | Somerset Co |
| Mother's Name | Mary Elzy |
| Mother's Birthplace | Somerset Co |
| Informant (Relationship and Address) | Levin Smith (father); Pri. Anne, Md |
| Date of Death | 1/26/1913 |
| Cause of Death and Time Attended by Doctor | still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | TJ Smith; Princess Anne, Md |
| Burial Place, Date, Undertaker, and Address | Princess Ann; 1/27/1913; James I Dennis; Pr Ann 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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