| Page (PDF) | 5 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Birckhead, Infant |
| Place of Death | Wicomico |
| Town of Death | Salisbury; Happy Alley St |
| Sex | M |
| Race | A.A. |
| Married, Widowed, or Single | - |
| Date of Birth | 6/15/2012 |
| Age (year, month, days) | - |
| Occupation or Employer | - |
| Birthplace | Maryland |
| Father's Name | James Birckhead |
| Father's Birthplace | Maryland |
| Mother's Name | Annie Haughes |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Annie Haughes |
| Date of Death | 6/15/1912 |
| Cause of Death and Time Attended by Doctor | Still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | J.D. Roberts, M.D., Salisbury |
| Burial Place, Date, Undertaker, and Address | Salisbury Cemetery 5/15/1911 J.F. Stewart 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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