| Page (PDF) | 15 |
|---|---|
| Certificate Number | – |
| Name of Deceased | (Ellis), Infant no name |
| Place of Death | Wicomico |
| Town of Death | Salisbury |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Single |
| Date of Birth | 1/28/1912 |
| Age (year, month, days) | - |
| Occupation or Employer | - |
| Birthplace | Md |
| Father's Name | Noah Ellis |
| Father's Birthplace | Md |
| Mother's Name | Sarah Gordy |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Noah Ellis, Salisbury Md |
| Date of Death | 1/28/1912 |
| Cause of Death and Time Attended by Doctor | Born dead |
| Immediate, Secondary, or Contributory Cause and How Long | Born dead |
| Physician and Address | H. L Charles?, M.D., Salisbury, MD |
| Burial Place, Date, Undertaker, and Address | Wm Ellis farm near Fruitland 1/28/1912 Holloway & Co undertaker, Salisbury 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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