| Page (PDF) | 7 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Henry, Dead Born Infant |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | M |
| Race | Colord |
| Married, Widowed, or Single | S |
| Date of Birth | – |
| Age (year, month, days) | - |
| Occupation or Employer | - |
| Birthplace | Berlin |
| Father's Name | Frank P Henry |
| Father's Birthplace | Berlin, Md |
| Mother's Name | Leah Bowen |
| Mother's Birthplace | - |
| Informant (Relationship and Address) | Emory Henry, grandfather |
| Date of Death | 12/22/1910 |
| Cause of Death and Time Attended by Doctor | No doctor |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | DA Massey |
| Burial Place, Date, Undertaker, and Address | – |
| 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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