| Page (PDF) | 41 |
|---|---|
| Certificate Number | 4406 |
| Name of Deceased | Horsey, unnamed (still born) |
| Place of Death | Wicomico |
| Town of Death | Salisbury; Peninsula General Hospital |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 3/19/1921 |
| Age (year, month, days) | x |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Geor WD Horsey |
| Father's Birthplace | Mardela Md |
| Mother's Name | Anna Goslee |
| Mother's Birthplace | Sharptown Md |
| Informant (Relationship and Address) | PG Hosptial; Salisbury Md |
| Date of Death | 3/19/1921 |
| Cause of Death and Time Attended by Doctor | still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | DB Potter; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | cremated at PG Hospital; 3/21/1921; acting Miss Wise, Supt PGH; Salisbury 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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