Page (PDF) | 1 |
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Certificate Number | 1069 |
Name of Deceased | Bane Jr, John (adopted) |
Place of Death | Worcester |
Town of Death | Girdletree |
Sex | M |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 8/3/1914 |
Age (year, month, days) | 5 yrs 5 mos 15 ds |
Occupation or Employer | none |
Birthplace | Worcester |
Father's Name | unknown |
Father's Birthplace | unknown |
Mother's Name | Jennie Allen |
Mother's Birthplace | Stockton Md |
Informant (Relationship and Address) | John Bane; Girdletree |
Date of Death | 1/18/1920 |
Cause of Death and Time Attended by Doctor | gun shot wound in abdomen, accidental |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | SC Oglesby; Girdletree Md |
Burial Place, Date, Undertaker, and Address | Foman Cemetery Stockton Md; 1/20/1920; Rowley & Purnell Stockton 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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