| Page (PDF) | 17 |
|---|---|
| Certificate Number | 11335 |
| Name of Deceased | [Brarton?], still birth - 2 mos |
| Place of Death | Somerset |
| Town of Death | Upper Fairmount |
| Sex | unknown |
| Race | black |
| Married, Widowed, or Single | x |
| Date of Birth | 7/9/1921 |
| Age (year, month, days) | x |
| Occupation or Employer | none |
| Birthplace | Maryland |
| Father's Name | Oden Brarton? |
| Father's Birthplace | Maryland |
| Mother's Name | Gertrude Holland |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Lizzie Holland |
| Date of Death | Upper Fairmount |
| Cause of Death and Time Attended by Doctor | 7/9/1921 |
| Immediate, Secondary, or Contributory Cause and How Long | premature birth; no physician I attendance |
| Physician and Address | GE Dickinson, registrar; Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | x;x;x;x |
| 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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