Page (PDF) | 41 |
---|---|
Certificate Number | 5155 |
Name of Deceased | unknown |
Place of Death | Somerset |
Town of Death | Dames Quarter |
Sex | M |
Race | B |
Married, Widowed, or Single | unknown |
Date of Birth | 1914 |
Age (year, month, days) | unknown |
Occupation or Employer | unknown |
Birthplace | unknown |
Father's Name | unknown |
Father's Birthplace | unknown |
Mother's Name | unknown |
Mother's Birthplace | unknown |
Informant (Relationship and Address) | Chas E Bozman, JP; Dames Quarter |
Date of Death | 5/2/1914 |
Cause of Death and Time Attended by Doctor | drowneded; found drowned no further information |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | TJ Smith; Princess Anne |
Burial Place, Date, Undertaker, and Address | Dames Quarter; 5/2/1914; Chas E Bozman; Dames Quarter |
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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