| Page (PDF) | 39 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Wilson, Clarence |
| Place of Death | Wicomico |
| Town of Death | PGH Hospital Salisbury Md |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Don't know |
| Date of Birth | Don't know |
| Age (year, month, days) | abt 27 yr |
| Occupation or Employer | Laborer |
| Birthplace | Virginia |
| Father's Name | I don't know |
| Father's Birthplace | I don't know |
| Mother's Name | I don't know |
| Mother's Birthplace | I don't know |
| Informant (Relationship and Address) | W.W. Polk per G. C. Hill Salisbury Md |
| Date of Death | 9/18/1912 |
| Cause of Death and Time Attended by Doctor | was on train & his head was struck by some unfound object and crushed; object was supposed to be part of station and he had ?; Worcester Co. Md |
| Immediate, Secondary, or Contributory Cause and How Long | Cerebral Hemorrhage |
| Physician and Address | JMcF Dick Salisbury Md |
| Burial Place, Date, Undertaker, and Address | 9/20/1912 shipped to Parkley Va (former residence Accomac Co Va. for burial by Geo. C. Hill |
| Length of Residence, Where Disease Contracted, Former Residence | 6 hrs; contracted Worcester; residence Accomack |
| 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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