| Page (PDF) | 35 |
|---|---|
| Certificate Number | 2569 |
| Name of Deceased | [Hollis], [no name] |
| Place of Death | Somerset |
| Town of Death | Upper Fairmount |
| Sex | x |
| Race | colored |
| Married, Widowed, or Single | foetus |
| Date of Birth | 2/2224/1916 |
| Age (year, month, days) | x |
| Occupation or Employer | none |
| Birthplace | Upper Fairmount; Md |
| Father's Name | Geo R Hollis |
| Father's Birthplace | Maryland |
| Mother's Name | Osceola Lawrence |
| Mother's Birthplace | Pennsylvania |
| Informant (Relationship and Address) | Geo R Hollis; Upper Fairmount Md |
| Date of Death | 2/24/1916 |
| Cause of Death and Time Attended by Doctor | dead born; premature birth |
| Immediate, Secondary, or Contributory Cause and How Long | still birth |
| Physician and Address | GE Dickinson; Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | Upper Fairmout; 2/24/1916; Geo R Hollis; Up Fairmount Md |
| 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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