Page (PDF) | 59 |
---|---|
Certificate Number | 4415 |
Name of Deceased | Long, Charles A |
Place of Death | Wicomico |
Town of Death | Salisbury; Peninsula G Hospital |
Sex | M |
Race | AA |
Married, Widowed, or Single | married |
Date of Birth | 10/5/1899 |
Age (year, month, days) | 31 yrs 5 mos 3 ds |
Occupation or Employer | farmer |
Birthplace | Maryland |
Father's Name | Charles H Long |
Father's Birthplace | Maryland |
Mother's Name | Laura J Washington |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | PG Hospital; Salisbury Md |
Date of Death | 3/8/1921 |
Cause of Death and Time Attended by Doctor | ..?? & perforation of arterial walls of stomach (accidental); immediate |
Immediate, Secondary, or Contributory Cause and How Long | sepsis; 8 ds |
Physician and Address | JMcF Dick; Salisbury, Md |
Burial Place, Date, Undertaker, and Address | Houston Cemetery; 3/10/1921; JF Stewart; Salisbury Md |
Length of Residence, Where Disease Contracted, Former Residence | 8 ds. Lifetime in state; near Salisbury |
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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