| Page (PDF) | 5 |
|---|---|
| Certificate Number | 15911 |
| Name of Deceased | Briscoe, Jerome |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 6/23/1905 |
| Age (year, month, days) | 15 yrs 3 mos 24 ds |
| Occupation or Employer | none |
| Birthplace | Md |
| Father's Name | Alexander Brisco |
| Father's Birthplace | Md |
| Mother's Name | Lilly Manuel |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Alex Brisco; Crisfield |
| Date of Death | 10/16/1921 |
| Cause of Death and Time Attended by Doctor | tuberculosis of the intestinal tract; 9 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | S Alexander Ross; Crisfield Md |
| Burial Place, Date, Undertaker, and Address | Wesley Cemetery; 10/17/1921; Isaac Fields; Crisfield |
| 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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