Page (PDF) | 21 |
---|---|
Certificate Number | – |
Name of Deceased | Jones, Goddie |
Place of Death | Somerset |
Town of Death | - |
Sex | F |
Race | Black |
Married, Widowed, or Single | Single |
Date of Birth | Aug (don't know), 1911 |
Age (year, month, days) | 5 mos |
Occupation or Employer | none |
Birthplace | Maryland |
Father's Name | unknown |
Father's Birthplace | Maryland |
Mother's Name | Goddie Jones |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Goddie Jones, Princess Anne Md |
Date of Death | 1/17/1912 |
Cause of Death and Time Attended by Doctor | No Dr in attendance - Bronchi Pneumonia (to the best of my belief), 4 days |
Immediate, Secondary, or Contributory Cause and How Long | Asthma |
Physician and Address | T.J. Smith, M.D., Princess Anne |
Burial Place, Date, Undertaker, and Address | Princess Anne Md 1/17/1912 James F Dennis undertaker, Pr Anne |
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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