| Page (PDF) | 63 |
|---|---|
| Certificate Number | 756 |
| Name of Deceased | White, Jim |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | married |
| Date of Birth | 3/18//1887 |
| Age (year, month, days) | 40 yrs 10 mos |
| Occupation or Employer | farmer |
| Birthplace | Md |
| Father's Name | Jeffrie White |
| Father's Birthplace | Md |
| Mother's Name | Sara Lola Brown |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | SA Ross; Crisfield Md |
| Date of Death | 1/19/1922 |
| Cause of Death and Time Attended by Doctor | chronic parenchy matory nephritis; 2 yrs 3 mos 5 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Samuel Alexander Ross; Crisfield Md |
| Burial Place, Date, Undertaker, and Address | Wesley Cemetary; 1/22/1922; Tilghman & Ward; Marion 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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