| Page (PDF) | 2 |
|---|---|
| Certificate Number | 25965 |
| Name of Deceased | Bivans, John B |
| Place of Death | Worcester |
| Town of Death | near Pocomoke |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 8/23/1907 |
| Age (year, month, days) | 10 yrs 3 mos 5 ds |
| Occupation or Employer | infant |
| Birthplace | Worcester |
| Father's Name | John Bivans |
| Father's Birthplace | Accomac Va |
| Mother's Name | Annie Hindman |
| Mother's Birthplace | Accomac Va |
| Informant (Relationship and Address) | John Bivans; Pocomoke Rd |
| Date of Death | 11/8/1917 |
| Cause of Death and Time Attended by Doctor | he was accidentally shot. I dressed the wound but did not see him afterward. |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Saml S Quinn; Pocomoke City |
| Burial Place, Date, Undertaker, and Address | Ward Town; near Pocomoke; 11/10/1917; FA Covington; New Church Va |
| 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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