Page (PDF) | 13 |
---|---|
Certificate Number | 14269 |
Name of Deceased | Countee, Arthur |
Place of Death | Wicomico |
Town of Death | Salisbury; PG Hospital |
Sex | M |
Race | Afro American |
Married, Widowed, or Single | single |
Date of Birth | 9/1904 |
Age (year, month, days) | 17 yrs 2 mos |
Occupation or Employer | worked on farm |
Birthplace | Md |
Father's Name | don't know |
Father's Birthplace | don't know |
Mother's Name | don't know |
Mother's Birthplace | don't know |
Informant (Relationship and Address) | Frank T Jones |
Date of Death | 9/14/1921 |
Cause of Death and Time Attended by Doctor | tetanus caused by nail wound of right foot |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Hunter R Mann; Salisbury, Md |
Burial Place, Date, Undertaker, and Address | Pocomoke City; 9/16/1921; Holloway & co; 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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