| Page (PDF) | 43 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Roberts, Daniel L. |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | S |
| Date of Birth | – |
| Age (year, month, days) | 15 yrs |
| Occupation or Employer | Farmer |
| Birthplace | Maryland |
| Father's Name | Perry J Roberts |
| Father's Birthplace | Maryland |
| Mother's Name | Mary F Williams |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Perry Roberts, Father |
| Date of Death | 10/2/1910 |
| Cause of Death and Time Attended by Doctor | Accidental shooting |
| Immediate, Secondary, or Contributory Cause and How Long | Decomposed body |
| Physician and Address | Allen Robinson, acting coroner, Pocomoke City, Md |
| Burial Place, Date, Undertaker, and Address | – |
| Length of Residence, Where Disease Contracted, Former Residence | Pocomoke City |
| Other Notes | Accident |
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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