| Page (PDF) | 21 |
|---|---|
| Certificate Number | 6845 |
| Name of Deceased | Maddox, Charles |
| Place of Death | Somerset |
| Town of Death | Manokin |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | widower |
| Date of Birth | 1871 |
| Age (year, month, days) | 42 yrs - |
| Occupation or Employer | farmer |
| Birthplace | Somerset Md |
| Father's Name | Charles Maddox |
| Father's Birthplace | Somerset Co Md |
| Mother's Name | Sabra Ballard |
| Mother's Birthplace | Somerset Co Md |
| Informant (Relationship and Address) | Charles Hayward; Westover Md |
| Date of Death | 5/11/1913 |
| Cause of Death and Time Attended by Doctor | dysentery 6 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GE Dickinson; Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | Curtis Chapel; 5/13/1913; Herbert Wilson; Upper Fairmount |
| 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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