| Page (PDF) | 5 |
|---|---|
| Certificate Number | 15702 |
| Name of Deceased | Bivans, Jantha |
| Place of Death | Somerset |
| Town of Death | Deals Island |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 11/15/1913 |
| Age (year, month, days) | 3 ds |
| Occupation or Employer | - |
| Birthplace | Deals Island |
| Father's Name | Henry Bivans |
| Father's Birthplace | Deals Island |
| Mother's Name | Lydia Hudson |
| Mother's Birthplace | Deals Island |
| Informant (Relationship and Address) | Lydia Bivans; Deals Island |
| Date of Death | 11/15/1913 |
| Cause of Death and Time Attended by Doctor | still born strangulation; no physician |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Geo B Horner; coronor; Deals Island |
| Burial Place, Date, Undertaker, and Address | Deals Island; 11/18/1913; L G Webster; Deals Island |
| 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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