Page (PDF) | 77 |
---|---|
Certificate Number | 4900 |
Name of Deceased | Whaley, Clarence A Showell |
Place of Death | Worcester |
Town of Death | Country? |
Sex | M |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 3/3/1918 |
Age (year, month, days) | 1 yrs 15 ds |
Occupation or Employer | none |
Birthplace | Maryland |
Father's Name | Hurly Whaley |
Father's Birthplace | Maryland |
Mother's Name | Heney Showell |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Heney Showell; Selbyville Del |
Date of Death | 3/18/1919 |
Cause of Death and Time Attended by Doctor | mirasmus. I been informed that the deceased has effe mirasmus since birth; no further info |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Rollins P Collins; Bishopville Md |
Burial Place, Date, Undertaker, and Address | Dukes Cemetary; 3/19/1919; Watson & Watson; Selbyville Del |
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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