| Page (PDF) | 29 |
|---|---|
| Certificate Number | 8513 |
| Name of Deceased | Henry, Agnas? |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | F |
| Race | color |
| Married, Widowed, or Single | x |
| Date of Birth | 11/2/1912 |
| Age (year, month, days) | 8 mos 23 ds |
| Occupation or Employer | - |
| Birthplace | Maryland |
| Father's Name | William Henry |
| Father's Birthplace | Maryland |
| Mother's Name | Gertrude Harr-? |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Mary Henry; Belin Md |
| Date of Death | 6/25/1913 |
| Cause of Death and Time Attended by Doctor | unknown; no dr called |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | S Jones? |
| Burial Place, Date, Undertaker, and Address | St. Pauls Cemetery; 6/26/1913; JW Burbage 7 Bros; Berlin 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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