| Page (PDF) | 39 |
|---|---|
| Certificate Number | 21333 |
| Name of Deceased | Selby, infant |
| Place of Death | Worcester |
| Town of Death | nr Pocomoke |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 12/13/1920 |
| Age (year, month, days) | x |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | Otis Selby |
| Father's Birthplace | Md |
| Mother's Name | Mable Mills |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Otis Selby; Pocomoke Rd |
| Date of Death | 12/13/1920 |
| Cause of Death and Time Attended by Doctor | premature still born; miscarraige |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | ES Hargis ,registrar; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Shilo Cemetery; near Pocomoke; 12/14/1920; RJ Williams; Snow Hill Rd |
| 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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