| Page (PDF) | 5 |
|---|---|
| Certificate Number | 15856 |
| Name of Deceased | Blake, Katie |
| Place of Death | Worcester |
| Town of Death | Stockton |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | unknown |
| Age (year, month, days) | abt 10 mos |
| Occupation or Employer | none |
| Birthplace | Wilmington Del |
| Father's Name | Sidney Blake |
| Father's Birthplace | Maryland |
| Mother's Name | Katie Stephenson |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Sanders Collick, Girdletree, Md |
| Date of Death | 11/12/1913 |
| Cause of Death and Time Attended by Doctor | no physician in attendance |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | CK S Jones |
| Burial Place, Date, Undertaker, and Address | Queponco C. yard; 11/13/1913; JW Burbage 7 Bro; 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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