| Page (PDF) | 13 |
|---|---|
| Certificate Number | 21162 |
| Name of Deceased | [Burroughs], infant (born dead) |
| Place of Death | Somerset |
| Town of Death | Mt Vernon |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | infant |
| Date of Birth | 12/25/1920 |
| Age (year, month, days) | born dead |
| Occupation or Employer | infant |
| Birthplace | Md |
| Father's Name | Lonnie Burroughs |
| Father's Birthplace | Md |
| Mother's Name | Annie Green |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Ponnie Burroughs; Pr Anne Md Rte 2 |
| Date of Death | 12/25/1920 |
| Cause of Death and Time Attended by Doctor | still born. Cause unknown |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | HA Barnes; Pr Anne |
| Burial Place, Date, Undertaker, and Address | Mt Vernon, Md; 12/25/1920; father; Pr Anne 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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