| Page (PDF) | 63 |
|---|---|
| Certificate Number | 13425 |
| Name of Deceased | [Stevensonl, not named |
| Place of Death | Somerset |
| Town of Death | near Pr Anne |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | x |
| Date of Birth | 9/14/1916 |
| Age (year, month, days) | still born |
| Occupation or Employer | x |
| Birthplace | Somerset |
| Father's Name | Sherman Stevenson |
| Father's Birthplace | Somerset |
| Mother's Name | Hester Collins |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Gilbert Stevenson; Peninsula Junction |
| Date of Death | 9/14/1916 |
| Cause of Death and Time Attended by Doctor | stillborn |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | TJ Smith; Pr Anne, Md |
| Burial Place, Date, Undertaker, and Address | on place; 9/14/1916; Wm James; Princess Anne 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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