Record #3140 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	13
Certificate Number	1310
Name of Deceased	Dennis, Rena Virginia
Place of Death	Wicomico
Town of Death	Fruitland
Sex	F
Race	colored
Married, Widowed, or Single	single
Date of Birth	7/1/1916
Age (year, month, days)	6 mos 26 ds
Occupation or Employer	none
Birthplace	Maryland
Father's Name	George Dennis
Father's Birthplace	Maryland
Mother's Name	Aline Shockley
Mother's Birthplace	Maryland
Informant (Relationship and Address)	George Dennis; Fruitland, Md
Date of Death	1/27/1917
Cause of Death and Time Attended by Doctor	Pneumonia, 2 days
Immediate, Secondary, or Contributory Cause and How Long	Pneumonia, 2 ds
Physician and Address	W.O. Daisey, M.D.; Fruitland, Md
Burial Place, Date, Undertaker, and Address	Fruitland, Md 1/28/17 The Hill & Johnson Co; Salisbury, Md
Length of Residence, Where Disease Contracted, Former Residence	–
Other Notes	–

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[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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Page (PDF) 19

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