| Page (PDF) | 17 |
|---|---|
| Certificate Number | 5620 |
| Name of Deceased | Foman, David |
| Place of Death | Worcester |
| Town of Death | Ironshire PO |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 8/10/1919 |
| Age (year, month, days) | 19 yrs 7 mos 8 ds |
| Occupation or Employer | worked on farm |
| Birthplace | Maryland |
| Father's Name | Samuel Foman |
| Father's Birthplace | Maryland |
| Mother's Name | Helen Selby |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | John Foreman; Ironshire PO |
| Date of Death | 3/18/1920 |
| Cause of Death and Time Attended by Doctor | bronchial pneumonia |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Jno C Pesace?; Berlin Md |
| Burial Place, Date, Undertaker, and Address | Germantown Cemetary; 3/20/1920; JW Burbage Sr; Berlin 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.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.