Page (PDF) | 1 |
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Certificate Number | 16397 |
Name of Deceased | Blake, Samuel |
Place of Death | Somerset |
Town of Death | Lawsonia Md |
Sex | M |
Race | negro |
Married, Widowed, or Single | married |
Date of Birth | 4/3/1853 |
Age (year, month, days) | 64 yrs 5 mos 22 ds |
Occupation or Employer | oyster opening & farming |
Birthplace | Lawsonia, Md |
Father's Name | John Blake |
Father's Birthplace | unknown |
Mother's Name | unknown |
Mother's Birthplace | unknown |
Informant (Relationship and Address) | Garfield Tull; Lawsonia Md |
Date of Death | 9/25/1917 |
Cause of Death and Time Attended by Doctor | chronic Brights disease; 1 yr |
Immediate, Secondary, or Contributory Cause and How Long | coma; 6 ds |
Physician and Address | WJ Barkley; 309 W Md Ave Crisfield |
Burial Place, Date, Undertaker, and Address | Asbury Cemetery; 9/27/1917; Garnett 7 Bros; Crisfield |
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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