Page (PDF) | 35 |
---|---|
Certificate Number | 7016 |
Name of Deceased | Jackson, John |
Place of Death | Worcester |
Town of Death | near Snow Hill |
Sex | M |
Race | colored |
Married, Widowed, or Single | married |
Date of Birth | 12/4/1855 |
Age (year, month, days) | 57 yrs - mos 15 dys |
Occupation or Employer | farmer |
Birthplace | Lewis Del |
Father's Name | don't know |
Father's Birthplace | don't know |
Mother's Name | don't know |
Mother's Birthplace | don't know |
Informant (Relationship and Address) | Sarah E Purnell; Snow Hill Md |
Date of Death | 5/15/1915 |
Cause of Death and Time Attended by Doctor | pulmonary tuberculosis; 1 yr |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | John L Riley; Snow Hill Md |
Burial Place, Date, Undertaker, and Address | Mt Wesley Cemetary; 5/17/1915; William S Williams; Snow Hill 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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