| Page (PDF) | 69 |
|---|---|
| Certificate Number | 14123 |
| Name of Deceased | Polk, Roscoe |
| Place of Death | Wicomico |
| Town of Death | Allen |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 7/27/1914 |
| Age (year, month, days) | 4 ds |
| Occupation or Employer | child |
| Birthplace | Allen |
| Father's Name | Johny Polk |
| Father's Birthplace | Maryland |
| Mother's Name | Ne...? King |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Henry Polk; Allen Md |
| Date of Death | 8/1/1915 |
| Cause of Death and Time Attended by Doctor | had no doctor & from information died from whooping cough |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | CR Truitt; Salisbury |
| Burial Place, Date, Undertaker, and Address | Friend Ship Church yard Wicomico; 8/2/1910; Holloway & Co; Salisbury |
| Length of Residence, Where Disease Contracted, Former Residence | 10 ds; lifetime Somerset |
| 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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