Page (PDF) | 35 |
---|---|
Certificate Number | – |
Name of Deceased | Lewis, John |
Place of Death | Somerset |
Town of Death | Marion |
Sex | M |
Race | Colored |
Married, Widowed, or Single | Married |
Date of Birth | don't know |
Age (year, month, days) | about 65 yrs |
Occupation or Employer | Farm Labour |
Birthplace | South Carolina |
Father's Name | Don't know |
Father's Birthplace | Don't know |
Mother's Name | Don't know |
Mother's Birthplace | don't know |
Informant (Relationship and Address) | S.C. Jones, Marion Md |
Date of Death | 7/26/1912 |
Cause of Death and Time Attended by Doctor | Kidney trouble with drink |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | No Dr |
Burial Place, Date, Undertaker, and Address | Near Marion 7/28/1912 S C Jones undertaker, Marion |
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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