| Page (PDF) | 121 |
|---|---|
| Certificate Number | 1485 |
| Name of Deceased | [Robertson], [not named] |
| Place of Death | Somerset |
| Town of Death | Venton |
| Sex | boy |
| Race | col |
| Married, Widowed, or Single | x |
| Date of Birth | 1/2/1919 |
| Age (year, month, days) | 1 ds |
| Occupation or Employer | x |
| Birthplace | Somerset |
| Father's Name | Tom Robertson |
| Father's Birthplace | Md |
| Mother's Name | Kate Sterling |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Tom Robertson; Venton |
| Date of Death | 1/3/1919 |
| Cause of Death and Time Attended by Doctor | no dr in attendance; don't know cause of death |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | TJ Smith; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Venton; 1/4/1919; Tom Robertson; Venton |
| 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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