| Page (PDF) | 21 |
|---|---|
| Certificate Number | 4851 |
| Name of Deceased | Church, [not named] |
| Place of Death | Wicomico |
| Town of Death | Quantico |
| Sex | M |
| Race | negro |
| Married, Widowed, or Single | single |
| Date of Birth | 3/7/1917 |
| Age (year, month, days) | – |
| Occupation or Employer | x |
| Birthplace | U.S. |
| Father's Name | Granville Church |
| Father's Birthplace | U.S. |
| Mother's Name | Irene Jester |
| Mother's Birthplace | U.S. |
| Informant (Relationship and Address) | Elizabeth Pinkett; Quantico Md |
| Date of Death | 3/7/1917 |
| Cause of Death and Time Attended by Doctor | reported miscarriage |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | JR Mackintosh; registrar; Quantico |
| Burial Place, Date, Undertaker, and Address | yard; 3/8/1917; father |
| 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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