| Page (PDF) | 57 |
|---|---|
| Certificate Number | 10104 |
| Name of Deceased | [Miles], infant borned dead |
| Place of Death | Worcester |
| Town of Death | near Pocomoke |
| Sex | M |
| Race | blk |
| Married, Widowed, or Single | x |
| Date of Birth | 7/4/1916 |
| Age (year, month, days) | x |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | James S Mills |
| Father's Birthplace | Md |
| Mother's Name | Birtha Beckitts? |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | James S Miles; x |
| Date of Death | 7/4/1916 |
| Cause of Death and Time Attended by Doctor | unknown; but supposed flooded |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | E S Hargis, local reg |
| Burial Place, Date, Undertaker, and Address | Shilo church-P City; 7/4/1916; Riley J Williams; Snow Hill |
| 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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