| Page (PDF) | 111 |
|---|---|
| Certificate Number | 1480 |
| Name of Deceased | [Privott], unnamed child |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 1/4/1919 |
| Age (year, month, days) | 2 ds |
| Occupation or Employer | none |
| Birthplace | Md |
| Father's Name | WW Privott |
| Father's Birthplace | North Carolina |
| Mother's Name | Mary E Cottman |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | WW Privott; Princess Anne |
| Date of Death | 1/6/1919 |
| Cause of Death and Time Attended by Doctor | patent foramen ovale |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Henry M Lankford; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Princess Anne; 1/7/1919; Jas I Dennis; Princess Anne 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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