| Page (PDF) | 29 |
|---|---|
| Certificate Number | 14310 |
| Name of Deceased | [Northam], not named |
| Place of Death | Worcester |
| Town of Death | nr Pocomoke |
| Sex | boy |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 9/23/1921 |
| Age (year, month, days) | 3 min. |
| Occupation or Employer | none |
| Birthplace | Md |
| Father's Name | Chas E Northam |
| Father's Birthplace | Md |
| Mother's Name | Elisabeth Jackson |
| Mother's Birthplace | Dames Quarter Md |
| Informant (Relationship and Address) | Lennard Northam; Pocomoke Md |
| Date of Death | 9/23/1921 |
| Cause of Death and Time Attended by Doctor | breach presentable at delivery following versionl died 3 minutes |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | CE Critcher; New Church Va |
| Burial Place, Date, Undertaker, and Address | Mt Hofer? Cemetery; 9/24/1921; FA Covington; New Church Va |
| 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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