Page (PDF) | 37 |
---|---|
Certificate Number | 5704 |
Name of Deceased | Maddox, Roland |
Place of Death | Somerset |
Town of Death | near Princess Anne |
Sex | M |
Race | black |
Married, Widowed, or Single | single |
Date of Birth | 7/12/1914 |
Age (year, month, days) | 9 mos 14 ds |
Occupation or Employer | x |
Birthplace | Somerset |
Father's Name | unknown |
Father's Birthplace | unknown |
Mother's Name | Josie Maddox |
Mother's Birthplace | Somerset |
Informant (Relationship and Address) | Martha Maddox; Princess Anne |
Date of Death | 4/27/1915 |
Cause of Death and Time Attended by Doctor | broncho pneumonia; 10 ds |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | TJ Smith; Princess Anne |
Burial Place, Date, Undertaker, and Address | Princess Ann Md; 4/28/1915; Wm James; P Anne |
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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