| Page (PDF) | 5 |
|---|---|
| Certificate Number | 13600 |
| Name of Deceased | Davis, Henry B |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | married |
| Date of Birth | 3/1868 |
| Age (year, month, days) | 45 yrs |
| Occupation or Employer | laborer |
| Birthplace | Whaleyville Md |
| Father's Name | Leven Davis |
| Father's Birthplace | unknown |
| Mother's Name | Betsey Davis |
| Mother's Birthplace | Whaleyville |
| Informant (Relationship and Address) | Hennie Davis; Berlin, Md |
| Date of Death | 12/19/1916 |
| Cause of Death and Time Attended by Doctor | apoplexy |
| Immediate, Secondary, or Contributory Cause and How Long | asthma |
| Physician and Address | Chas R Law; Berlin |
| Burial Place, Date, Undertaker, and Address | Bethel M E Cemetary; 9/29/1916; Stewart & Bowen; Berlin |
| 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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