| Page (PDF) | 3 |
|---|---|
| Certificate Number | 9240 |
| Name of Deceased | Ayers, Roland |
| Place of Death | Wicomico |
| Town of Death | Salisbury; PG Hospital |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 10/15/1908 |
| Age (year, month, days) | 11 yrs 6 mos 25 ds |
| Occupation or Employer | school boy |
| Birthplace | Accomac co, Va |
| Father's Name | Jay Ayers |
| Father's Birthplace | Accomac Co Va |
| Mother's Name | Maggie Jacobs |
| Mother's Birthplace | Accomack VA |
| Informant (Relationship and Address) | Jay Ayers; Onley V |
| Date of Death | 5/10/1920 |
| Cause of Death and Time Attended by Doctor | acute perforation appendicitis |
| Immediate, Secondary, or Contributory Cause and How Long | general peritonitis |
| Physician and Address | JMcFDick; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | Pongatague Cemetery; 5/11/1920; JF Stewart; Salisbury, MD |
| Length of Residence, Where Disease Contracted, Former Residence | 1 ds ; residence Accomac Co VA |
| 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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