| Page (PDF) | 21 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Jones, Francis Savannah |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | F |
| Race | Black |
| Married, Widowed, or Single | S |
| Date of Birth | 1/6/1909 |
| Age (year, month, days) | 2 yrs 5 days |
| Occupation or Employer | - |
| Birthplace | Worcester Co., Md |
| Father's Name | Harrison Douglas |
| Father's Birthplace | Somerest Co., Md |
| Mother's Name | Mary Elizabeth Jones |
| Mother's Birthplace | Worcester Co., Md |
| Informant (Relationship and Address) | Mary Elizabeth Jones, Pocomoke City, Md |
| Date of Death | 1/11/1911 |
| Cause of Death and Time Attended by Doctor | Chronic Bronchitis |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | N. E. Srstorius, Pocomoke City, Md |
| Burial Place, Date, Undertaker, and Address | Pocomoke, 1/10/1911, Chas Ballard undertaker, Pocomoke |
| 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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