| Page (PDF) | 64 |
|---|---|
| Certificate Number | 10103 |
| Name of Deceased | Smith, none (still born) |
| Place of Death | Wicomico |
| Town of Death | Salisbury; P G Hospital |
| Sex | M |
| Race | colord |
| Married, Widowed, or Single | single |
| Date of Birth | 7/3/1919 |
| Age (year, month, days) | 7 mos fetus |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | John H Smith |
| Father's Birthplace | Accomac Co Va |
| Mother's Name | Brasie Reed |
| Mother's Birthplace | Accomac Co Va |
| Informant (Relationship and Address) | Brasie Reed; Accomac Co VA |
| Date of Death | 7/3/1919 |
| Cause of Death and Time Attended by Doctor | unknown (premature birth) |
| Immediate, Secondary, or Contributory Cause and How Long | unknown |
| Physician and Address | JMcF Dick; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | disposed of at PG Hospital; 7/3/1919; acting Supt of PG Hospital; Salisbury, dm |
| 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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