| Page (PDF) | 39 |
|---|---|
| Certificate Number | 3100 |
| Name of Deceased | Smith, Caesar |
| Place of Death | Somerset |
| Town of Death | Upper Fairmount |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | infant |
| Date of Birth | 3/4/1914 |
| Age (year, month, days) | 10 ds |
| Occupation or Employer | none |
| Birthplace | Maryland |
| Father's Name | Caesar Smith |
| Father's Birthplace | Maryland |
| Mother's Name | Ada Custis |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Caesar, Smith; Upper Fairmount Md |
| Date of Death | 3/14/1914 |
| Cause of Death and Time Attended by Doctor | congenital debility; no physician in attendance |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GE Dickinson; Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | colored cemetery; 3/14/1914; Herbert Wilson; Upper Fairmount |
| 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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