| Page (PDF) | 35 |
|---|---|
| Certificate Number | 17712 |
| Name of Deceased | [Holloway, still born unnamed |
| Place of Death | Wicomico |
| Town of Death | Salisbury; Pen Gen Hospital |
| Sex | F |
| Race | colroed |
| Married, Widowed, or Single | single |
| Date of Birth | 11/17/1921 |
| Age (year, month, days) | – |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Wesley Holloway |
| Father's Birthplace | Md |
| Mother's Name | Lorraine Burris |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Supt P.G. Hospital; Salisbury Md |
| Date of Death | 11/17/1921 |
| Cause of Death and Time Attended by Doctor | .? Presentations; severe labor; 3 ds |
| Immediate, Secondary, or Contributory Cause and How Long | gangrene of arm & shoulder |
| Physician and Address | JW McF Dick; Salisbury |
| Burial Place, Date, Undertaker, and Address | disposed of at PG Hospital; 11/18/1921; acting: Helen Wise; Salisbury Md |
| Length of Residence, Where Disease Contracted, Former Residence | 1/2 ds; residence: Delmar De |
| 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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