Page (PDF) | 35 |
---|---|
Certificate Number | 4451 |
Name of Deceased | Long Jr, James |
Place of Death | Worcester |
Town of Death | Pcomoke? |
Sex | M |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 2/1880 |
Age (year, month, days) | 41 yrs |
Occupation or Employer | farmer |
Birthplace | Worcester |
Father's Name | James Long Sr |
Father's Birthplace | Worcester |
Mother's Name | Harriet Williams |
Mother's Birthplace | Accomac Co Va |
Informant (Relationship and Address) | James Long Sr; Pocomoke |
Date of Death | 3/27/1921 |
Cause of Death and Time Attended by Doctor | chronic interstitial nephritis |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | NE Sartorius; Pocomoke City |
Burial Place, Date, Undertaker, and Address | Ebenezer Church; 3/29/1921; Stevenson & Bro; Pocomoke |
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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