| Page (PDF) | 3 |
|---|---|
| Certificate Number | 958 |
| Name of Deceased | Black, Andrew J |
| Place of Death | Wicomico |
| Town of Death | Fruitland |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | married |
| Date of Birth | 6/4/1851 |
| Age (year, month, days) | 62 yrs 7 mos 20 ds |
| Occupation or Employer | farmer |
| Birthplace | Fruitland |
| Father's Name | Henry Black |
| Father's Birthplace | Maryaldn |
| Mother's Name | I don't know |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Ethel B Anthony |
| Date of Death | 1/4/1914 |
| Cause of Death and Time Attended by Doctor | haemglagi? 8mos 8 ds |
| Immediate, Secondary, or Contributory Cause and How Long | rheumatism |
| Physician and Address | JW Roberts; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | Fruitland Church yard; 1/28/1914; Geo C Hill; Salisbury Md |
| Length of Residence, Where Disease Contracted, Former Residence | at residence; Fruitland |
| 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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