| Page (PDF) | 19 |
|---|---|
| Certificate Number | 7051 |
| Name of Deceased | Elzey, (not named infant) |
| Place of Death | Somerset |
| Town of Death | Champ |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 7/26/1914 |
| Age (year, month, days) | 3 1/2 min |
| Occupation or Employer | none |
| Birthplace | Champ, Md |
| Father's Name | Frederick Lee Elzey |
| Father's Birthplace | Champ, Md |
| Mother's Name | Janie Elzey |
| Mother's Birthplace | Champ, Md |
| Informant (Relationship and Address) | Frederick Lee Elzey; Champ Md |
| Date of Death | 7/26/1914 |
| Cause of Death and Time Attended by Doctor | imperfect circulation |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | ? Bozman; Champ |
| Burial Place, Date, Undertaker, and Address | Champ; 7/27/1914; Frederick Elzey; Champ 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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