| Page (PDF) | 5 |
|---|---|
| Certificate Number | 6773 |
| Name of Deceased | (Bivans), unnamed baby |
| Place of Death | Worcester |
| Town of Death | near Pocomoke |
| Sex | M |
| Race | blk |
| Married, Widowed, or Single | x |
| Date of Birth | 4/12/1917 |
| Age (year, month, days) | premature dead born |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | Joh F Bivans |
| Father's Birthplace | Va |
| Mother's Name | Annie Hinman |
| Mother's Birthplace | VA |
| Informant (Relationship and Address) | Martha Williams; Pocomoke #2 |
| Date of Death | 4/12/1917 |
| Cause of Death and Time Attended by Doctor | premature birth; dead when delivered |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | ES Hargis; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Andis Farm Pocomoke; 4/12/1917; Joh F Bevans; 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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