| Page (PDF) | 33 |
|---|---|
| Certificate Number | 5702 |
| Name of Deceased | Letherbury, Jacob Ellen? |
| Place of Death | Somerset |
| Town of Death | near Princess Anne |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 2/19/1911 |
| Age (year, month, days) | 4 yrs 1 mos 27 ds |
| Occupation or Employer | – |
| Birthplace | Somerset |
| Father's Name | Geo Cornish |
| Father's Birthplace | Somerset |
| Mother's Name | Sadie Letherbury |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Ebin Letherbury; Princess Anne |
| Date of Death | 4/16/1915 |
| Cause of Death and Time Attended by Doctor | nor dr saw child at time of death; history of case show child has been sick; stomach trouble |
| Immediate, Secondary, or Contributory Cause and How Long | acute indigestion |
| Physician and Address | TJ Smith; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Polks Road; 4/18/1915; Dale Washins?; Mt Vernon 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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