| Page (PDF) | 41 |
|---|---|
| Certificate Number | 1111 |
| Name of Deceased | Jones, Daniel |
| Place of Death | Somerset |
| Town of Death | Mt Vernon |
| Sex | M |
| Race | negro |
| Married, Widowed, or Single | single |
| Date of Birth | 2/12/1909 |
| Age (year, month, days) | 7 yrs 11 mos 14 ds |
| Occupation or Employer | school boy |
| Birthplace | Md |
| Father's Name | Daniel Jones |
| Father's Birthplace | Md |
| Mother's Name | Mary Robinson |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Wm Nutter; Mt Vernon |
| Date of Death | 1/28/1917 |
| Cause of Death and Time Attended by Doctor | pneumonia broncho; 11 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Harlan A Cuff; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Mt Zion; 1/30/1917; Dennis & Nutter; Mt Vernon |
| 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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