| Page (PDF) | 21 |
|---|---|
| Certificate Number | 10418 |
| Name of Deceased | Henry, Vivian Lorenda |
| Place of Death | Worcester |
| Town of Death | Berlin, Md |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | x |
| Date of Birth | 6/6/1917 |
| Age (year, month, days) | 8 ds |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Hurl T Henry |
| Father's Birthplace | Maryland |
| Mother's Name | Nonna L Berry |
| Mother's Birthplace | Pennsylvania |
| Informant (Relationship and Address) | Hurl G Henry; Berlin, Md |
| Date of Death | 6/14/1917 |
| Cause of Death and Time Attended by Doctor | broncho pneumonia R side; 4 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | S Watson Fox; Berlin Md |
| Burial Place, Date, Undertaker, and Address | Berlin Md; 6/15/1917; Curtis J Evans; 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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