| Page (PDF) | 25 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Long, Percival |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | M |
| Race | Negro |
| Married, Widowed, or Single | S |
| Date of Birth | 4/12/1908 |
| Age (year, month, days) | 2 yrs 9 mos 11 days |
| Occupation or Employer | – |
| Birthplace | Maryland |
| Father's Name | Ed Long |
| Father's Birthplace | Md |
| Mother's Name | Leah Quinn |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Ed Long, Pocomoke City |
| Date of Death | 1/23/1911 |
| Cause of Death and Time Attended by Doctor | Lobar Pneumonia, 5 days |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | A A Parker, Pocomoke City, Md |
| Burial Place, Date, Undertaker, and Address | Halls Hill, 1/23/1911, 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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