Page (PDF) | 21 |
---|---|
Certificate Number | – |
Name of Deceased | Laws, James |
Place of Death | Worcester |
Town of Death | Nr Berlin |
Sex | M |
Race | Black |
Married, Widowed, or Single | Single |
Date of Birth | 5/11/1895 |
Age (year, month, days) | 16 yrs |
Occupation or Employer | Farm laborer |
Birthplace | Maryland |
Father's Name | John Laws |
Father's Birthplace | Maryland |
Mother's Name | Mary Purnell |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | John Laws, Berlin, Md |
Date of Death | 5/21/1911 |
Cause of Death and Time Attended by Doctor | Accidentally drowned - above cause of death correct |
Immediate, Secondary, or Contributory Cause and How Long | -- |
Physician and Address | Dave Jones, M.D., Snow Hill, Md |
Burial Place, Date, Undertaker, and Address | Near Newark 5/22/1911 Curtis J. Evans undertaker, Berlin, 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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