Page (PDF) | 11 |
---|---|
Certificate Number | 8743 |
Name of Deceased | [Henry], [not named] |
Place of Death | Worcester |
Town of Death | Berlin |
Sex | M |
Race | col |
Married, Widowed, or Single | x |
Date of Birth | 5/12/1917 |
Age (year, month, days) | x |
Occupation or Employer | x |
Birthplace | Maryland |
Father's Name | unknown |
Father's Birthplace | unknown |
Mother's Name | Maggie Henry |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | James Henry; Berlin Md |
Date of Death | 5/12/1917 |
Cause of Death and Time Attended by Doctor | no doctor in attendance; still born |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | WL Holloway; Berlin Md |
Burial Place, Date, Undertaker, and Address | St Pauls Cemetary; 5/13/1917; JW Burbage & Bro; Berlin Md |
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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