| Page (PDF) | 31 |
|---|---|
| Certificate Number | 8567 |
| Name of Deceased | Jackson, Essie |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Married |
| Date of Birth | 11/17/1917 |
| Age (year, month, days) | 39 yrs 6 mos 5 ds |
| Occupation or Employer | Farmer |
| Birthplace | Md |
| Father's Name | Peter Jackson |
| Father's Birthplace | Md |
| Mother's Name | Emma Green |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Marcellus Jackson |
| Date of Death | 5/22/1917 |
| Cause of Death and Time Attended by Doctor | Carduac exgaystuibm - acute myocarditis - Hypstotis congestion of liver |
| Immediate, Secondary, or Contributory Cause and How Long | Acute Poaucliynatus - nephritis 14 ds |
| Physician and Address | George C Coulbourn: M.D.; Marion, Md |
| Burial Place, Date, Undertaker, and Address | Ebenezer 5/24/1917 A W Dixon, Marion |
| 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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