| Page (PDF) | 5 |
|---|---|
| Certificate Number | 36091 |
| Name of Deceased | Blake, John Lee |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | don't know |
| Age (year, month, days) | abt 40 yrs |
| Occupation or Employer | labor - odd jobs |
| Birthplace | Va |
| Father's Name | James Selby |
| Father's Birthplace | Va |
| Mother's Name | Tobiatha Blake |
| Mother's Birthplace | don't know |
| Informant (Relationship and Address) | Mattie Holland; Pocomoke City |
| Date of Death | 12/8/1917 |
| Cause of Death and Time Attended by Doctor | likely consumption as he died with hemorrhage from lungs |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | NE Sartorius; Pocomoke Md |
| Burial Place, Date, Undertaker, and Address | Halls Hill #1; 12/10/1917; Chas H Ballard & Bros; Pocomoke |
| 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.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.