| Page (PDF) | 71 |
|---|---|
| Certificate Number | 17650 |
| Name of Deceased | [Shreeves], dead born |
| Place of Death | Somerset |
| Town of Death | Westover |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 10/15/1920 |
| Age (year, month, days) | still born |
| Occupation or Employer | none |
| Birthplace | Md |
| Father's Name | Samuel L Shreeves |
| Father's Birthplace | Md |
| Mother's Name | Lena Collins |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Samuel L Shreeves; Westover Md |
| Date of Death | 10/15/1920 |
| Cause of Death and Time Attended by Doctor | don't know (dead born) |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GE Dickinson, local registrar; Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | Curtis Chapel; 10/16/1920; Alfred Shreeves; Westover 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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