| Page (PDF) | 13 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Cornish, Still Born |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Single |
| Date of Birth | 4/10/1912 |
| Age (year, month, days) | Still born |
| Occupation or Employer | – |
| Birthplace | Somerset Co |
| Father's Name | Robt Cornish |
| Father's Birthplace | Somerset Co |
| Mother's Name | Annie Blake |
| Mother's Birthplace | Somerset Co. |
| Informant (Relationship and Address) | Robt. Cornish, Princess Anne |
| Date of Death | 4/10/1912 |
| Cause of Death and Time Attended by Doctor | Still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | T J Smith, M.D., Princess Anne |
| Burial Place, Date, Undertaker, and Address | Princess Anne 4/11/1912 Robt Cornish 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.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.