| Page (PDF) | 27 |
|---|---|
| Certificate Number | 19192 |
| Name of Deceased | Jones, Raymond |
| Place of Death | Somerset |
| Town of Death | near P Anne |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 2/10/1919 |
| Age (year, month, days) | 2 yrs 9 mos 8 ds |
| Occupation or Employer | x |
| Birthplace | Ms |
| Father's Name | Jno Aom Jonwa |
| Father's Birthplace | Ms |
| Mother's Name | Margaret Jones |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Jno Som Jones; Peninsula Junction Md |
| Date of Death | 12/13/1921 |
| Cause of Death and Time Attended by Doctor | no dr in attendance, childs mother died with tuberculosis about 2 months ago & from history of case I judge child had tuberculosis |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | TJ Smith; Pr Anne |
| Burial Place, Date, Undertaker, and Address | Pr Anne Md; 12/14/1921; father; Peninsula Junction 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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