| Page (PDF) | 15 |
|---|---|
| Certificate Number | 1076 |
| Name of Deceased | Fooks, Roy |
| Place of Death | Worcester |
| Town of Death | Whaleyville RD |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 9/27/1905 |
| Age (year, month, days) | 15 yrs 4 mos 2 ds |
| Occupation or Employer | farming |
| Birthplace | Pennsylvania |
| Father's Name | John fooks |
| Father's Birthplace | Maryland |
| Mother's Name | Susan Hamblin |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Elsie Fooks; Whaleyville Md |
| Date of Death | 1/29/1920 |
| Cause of Death and Time Attended by Doctor | shot self by accident |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | RR Collins; Bishopville Md |
| Burial Place, Date, Undertaker, and Address | Cedar Chapel; 1/31/1920; MP 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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