| Page (PDF) | 5 |
|---|---|
| Certificate Number | 7002 |
| Name of Deceased | Blake, Walter |
| Place of Death | Worcester |
| Town of Death | Bishopville Md |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 5/26/190717 hrs 11 Mos 20 ds |
| Age (year, month, days) | 7 yrs 11 mos 20 ds |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | David Blake |
| Father's Birthplace | Maryland |
| Mother's Name | Lida Jones |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | David Blake; Bishipville Md |
| Date of Death | 5/16/1915 |
| Cause of Death and Time Attended by Doctor | convulsions brought on by strychnine which was taken by mistake |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Rollins P Collins; Bishopville Md |
| Burial Place, Date, Undertaker, and Address | Long Chappel; 5/17/1915; PF Watson; Selbyville Del |
| 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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