| Page (PDF) | 83 |
|---|---|
| Certificate Number | 17898 |
| Name of Deceased | Rock, Clinton C |
| Place of Death | Somerset |
| Town of Death | Venton |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 4/22/1915 |
| Age (year, month, days) | 5 mos 14 ds |
| Occupation or Employer | x |
| Birthplace | Venton Md |
| Father's Name | Herman H Rock |
| Father's Birthplace | Venton Md |
| Mother's Name | Nettie V Rock |
| Mother's Birthplace | Monie,Md |
| Informant (Relationship and Address) | Herman H Rock; Venton Md |
| Date of Death | 10/7/1915 |
| Cause of Death and Time Attended by Doctor | pneumonia |
| Immediate, Secondary, or Contributory Cause and How Long | snycope |
| Physician and Address | John T Ruby; Oriole, Md |
| Burial Place, Date, Undertaker, and Address | Venton; 10/8/1915; Wm James; Princess 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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