| Page (PDF) | 67 |
|---|---|
| Certificate Number | 10060 |
| Name of Deceased | [Peters], infant |
| Place of Death | Wicomico |
| Town of Death | White Haven |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 7/18/1916 |
| Age (year, month, days) | 23 hrs |
| Occupation or Employer | none |
| Birthplace | White Haven |
| Father's Name | Westley Peters |
| Father's Birthplace | Wicomico |
| Mother's Name | Annie Welcon? |
| Mother's Birthplace | Wicomico |
| Informant (Relationship and Address) | Westley Peters; White Haven |
| Date of Death | 7/18/1916 |
| Cause of Death and Time Attended by Doctor | premature birth |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | HA Garrison; P Anne |
| Burial Place, Date, Undertaker, and Address | White Haven; 7/19/1916; CG Messick; Bivalve |
| 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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