| Page (PDF) | 21 |
|---|---|
| Certificate Number | 61361 |
| Name of Deceased | Cook, Gardner |
| Place of Death | Wicomico |
| Town of Death | near Mardela |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 12/14/1917 |
| Age (year, month, days) | 1 yrs 8 mos 11 ds |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | John A Cook |
| Father's Birthplace | Maryland |
| Mother's Name | Daisy waller |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | John A Cook; Mardela Md |
| Date of Death | 12/25/1918 |
| Cause of Death and Time Attended by Doctor | no dr attending |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | x;x |
| Burial Place, Date, Undertaker, and Address | John Westly Cemetery; 12/26/1918; Al Seabrease; Mardela 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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