| Page (PDF) | 15 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Dawson, Charles T |
| Place of Death | Somerset |
| Town of Death | Dames 1/4 |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | Single |
| Date of Birth | 4/22/1911 |
| Age (year, month, days) | 5 mos 23 days |
| Occupation or Employer | - |
| Birthplace | Somerset Co |
| Father's Name | Page Dawson |
| Father's Birthplace | Virginia |
| Mother's Name | Addie Field |
| Mother's Birthplace | Som Co |
| Informant (Relationship and Address) | James Fields, Dames 1/4 Md |
| Date of Death | 10/15/1911 |
| Cause of Death and Time Attended by Doctor | Ilio Colitis, 14 days |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | S.J. Windsor, M.D., Dames 1/4, Md |
| Burial Place, Date, Undertaker, and Address | Dames 1/4, Md 10/15/1911 T.W. Hendry undertaker, Deals Island, 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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