| Page (PDF) | 21 |
|---|---|
| Certificate Number | 15714 |
| Name of Deceased | Foreman, Ida May Marce |
| Place of Death | Somerset |
| Town of Death | Kingston |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | infant |
| Date of Birth | 12/11/1917 |
| Age (year, month, days) | 7 mos 27 ds |
| Occupation or Employer | child |
| Birthplace | Somerset |
| Father's Name | Juke Foreman |
| Father's Birthplace | Maryland |
| Mother's Name | Winnie M Carroll |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Juke Foreman; Kingston, Md |
| Date of Death | 8/5/1918 |
| Cause of Death and Time Attended by Doctor | acute delation of heart |
| Immediate, Secondary, or Contributory Cause and How Long | ileo colitis; 14 ds |
| Physician and Address | Geo C Coulbourn; Marion Md |
| Burial Place, Date, Undertaker, and Address | Kingston; 8/6/1918; Juke Foreman; Kingston |
| 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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