| Page (PDF) | 57 |
|---|---|
| Certificate Number | 17600 |
| Name of Deceased | White, Samuel |
| Place of Death | Somerset |
| Town of Death | Oriole |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | married |
| Date of Birth | 11/1870 |
| Age (year, month, days) | 51 yrs 11 mos |
| Occupation or Employer | waterman |
| Birthplace | Monie Md |
| Father's Name | Horace White |
| Father's Birthplace | Monie Md |
| Mother's Name | Harriett White |
| Mother's Birthplace | Monie Md |
| Informant (Relationship and Address) | John T Ruby; Oriole |
| Date of Death | 11/25/1921 |
| Cause of Death and Time Attended by Doctor | feeble heart & nephritis |
| Immediate, Secondary, or Contributory Cause and How Long | ?; 15 ds |
| Physician and Address | John T Ruby; Oriole Md |
| Burial Place, Date, Undertaker, and Address | Oriole Md; 11/27/1921; James I Dennis; Princess Anne 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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