| Page (PDF) | 39 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Mills, Harley |
| Place of Death | Worcester |
| Town of Death | Near Pocomoke City |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | child |
| Date of Birth | 7/19/1911 |
| Age (year, month, days) | 4 days |
| Occupation or Employer | Infant |
| Birthplace | America |
| Father's Name | James Mills |
| Father's Birthplace | Worcester Co Md |
| Mother's Name | Tabithia Beckett |
| Mother's Birthplace | Worcester Co Md |
| Informant (Relationship and Address) | R.J. Williams, Snow Hill |
| Date of Death | 7/19/1911 |
| Cause of Death and Time Attended by Doctor | 10 days |
| Immediate, Secondary, or Contributory Cause and How Long | Diarrhoea, 13 days |
| Physician and Address | Isaac T. Costen, M.D. Pocomoke City, Md |
| Burial Place, Date, Undertaker, and Address | Johnson Neck 7/20/1911 Chas Ballard undertaker, Pocomoke |
| 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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