| Page (PDF) | 77 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Washington, Child still born |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | S |
| Date of Birth | 1/10/1911 |
| Age (year, month, days) | Still born |
| Occupation or Employer | - |
| Birthplace | Somcerst Co. Md |
| Father's Name | Garfield Washington |
| Father's Birthplace | Somerset Co |
| Mother's Name | Ann Black |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | - |
| Date of Death | 1/10/1911 |
| Cause of Death and Time Attended by Doctor | Still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | T.J. Smith (not in attendance), Princess Ann |
| Burial Place, Date, Undertaker, and Address | Princess Anne, Md, Jan 10, 1911 Wilson Tilghman, undertaker Pr 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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