| Page (PDF) | 3 |
|---|---|
| Certificate Number | 25420 |
| Name of Deceased | Bivens, John |
| Place of Death | Worcester |
| Town of Death | near Snow Hill |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 9/1/1917 |
| Age (year, month, days) | 1 yrs 2 mos |
| Occupation or Employer | none |
| Birthplace | Worcester |
| Father's Name | Will Bevens |
| Father's Birthplace | Worcester |
| Mother's Name | Susan Bevans |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | Susa Bevans; Snow Hill, Md |
| Date of Death | 10/13/1918 |
| Cause of Death and Time Attended by Doctor | whooping cough; no physician; 14 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Paul Jones; Snow Hill, Md |
| Burial Place, Date, Undertaker, and Address | Taylor Gate Cemetery; 10/14/1918; Wm S Williams; Snow Hill, 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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