| Page (PDF) | 79 |
|---|---|
| Certificate Number | 21959 |
| Name of Deceased | Roberts, nameless |
| Place of Death | Somerset |
| Town of Death | Dames Quarter |
| Sex | F |
| Race | B |
| Married, Widowed, or Single | single |
| Date of Birth | 12/11/1915 |
| Age (year, month, days) | – |
| Occupation or Employer | x |
| Birthplace | x |
| Father's Name | Corey Roberts |
| Father's Birthplace | Md |
| Mother's Name | Mary Leatherbury |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Mary Roberts; Dames Quarter |
| Date of Death | 12/11/1915 |
| Cause of Death and Time Attended by Doctor | miscarriage at 4 months |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | EP Simpson; Chance |
| Burial Place, Date, Undertaker, and Address | x/ x/ order of cremated by EP Simpson MD; Chance |
| 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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