Page (PDF) | 9 |
---|---|
Certificate Number | 17330 |
Name of Deceased | Davis, no name still born |
Place of Death | Wicomico |
Town of Death | Nanticoke |
Sex | M |
Race | N |
Married, Widowed, or Single | x |
Date of Birth | 12/22/1913 |
Age (year, month, days) | no |
Occupation or Employer | x |
Birthplace | Maryland |
Father's Name | Harry Davis |
Father's Birthplace | Maryland |
Mother's Name | Alice Griffin |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Harry Davis; Nanticoke |
Date of Death | 12/22/1913 |
Cause of Death and Time Attended by Doctor | dys? |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | CE Caldwell; Bivalve Md |
Burial Place, Date, Undertaker, and Address | Nanticoke; 12/23/1913; CG Messick; Bivalve 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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