| Page (PDF) | 5 |
|---|---|
| Certificate Number | 19759 |
| Name of Deceased | Burris, Boby |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | x |
| Date of Birth | 11/15/1915 |
| Age (year, month, days) | borned dead |
| Occupation or Employer | x |
| Birthplace | Somerset |
| Father's Name | Mooder burris |
| Father's Birthplace | Maryland |
| Mother's Name | Amelia Ellen Holland |
| Mother's Birthplace | somerset |
| Informant (Relationship and Address) | Lewis Parker; Marion |
| Date of Death | 11/15/1915 |
| Cause of Death and Time Attended by Doctor | 7 mos child - premature |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | George C Coulbourn; Marion |
| Burial Place, Date, Undertaker, and Address | Bevans Cemetery; 11/15/1915; Louis Parker; Marion |
| 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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