| Page (PDF) | 23 |
|---|---|
| Certificate Number | 1669 |
| Name of Deceased | Church, James A |
| Place of Death | Wicomico |
| Town of Death | Salisbury; 209 Second St |
| Sex | M |
| Race | Afro American |
| Married, Widowed, or Single | married |
| Date of Birth | 1/10/1886 |
| Age (year, month, days) | 33 yrs 0 mos 15 ds |
| Occupation or Employer | laborer |
| Birthplace | Md |
| Father's Name | William Church |
| Father's Birthplace | Md |
| Mother's Name | Mary V Dashields |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Mary A Church; 209 Second St Salisbury, Md |
| Date of Death | 1/25/1919 |
| Cause of Death and Time Attended by Doctor | meningitis; unknown |
| Immediate, Secondary, or Contributory Cause and How Long | supposed influenza |
| Physician and Address | JMcF Dick; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | Quantico Md; 1/27/1919; Holloway & Co; Salisbury 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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