| Page (PDF) | 73 |
|---|---|
| Certificate Number | 43208 |
| Name of Deceased | Lane Jr, George |
| Place of Death | Somerset |
| Town of Death | Kingston |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 3/1918 |
| Age (year, month, days) | 5 yr 8 mos |
| Occupation or Employer | child |
| Birthplace | Somerset |
| Father's Name | George Lane |
| Father's Birthplace | Virginia |
| Mother's Name | Liza Wilkens |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Geo Lane; Kingston |
| Date of Death | 11/4/1918 |
| Cause of Death and Time Attended by Doctor | cardiac exhaustion; broncho pneumonia |
| Immediate, Secondary, or Contributory Cause and How Long | whooping cough; 2 wks influenza; 7 ds |
| Physician and Address | George C Coulbourn; Marion |
| Burial Place, Date, Undertaker, and Address | Walters; 11/4/1918; AW Dixon; Marion |
| 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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