| Page (PDF) | 77 |
|---|---|
| Certificate Number | – |
| Name of Deceased | White, Archie T |
| Place of Death | Somerset |
| Town of Death | Dames Quarter |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | - |
| Date of Birth | 4/26/1912 |
| Age (year, month, days) | 5 mos 27 ds |
| Occupation or Employer | - |
| Birthplace | Somerset Co |
| Father's Name | Major White |
| Father's Birthplace | Somerset Co |
| Mother's Name | Ida White |
| Mother's Birthplace | Somerset Co |
| Informant (Relationship and Address) | Major White; Dames 1/4 Md |
| Date of Death | 10/23/1912 |
| Cause of Death and Time Attended by Doctor | ill - colitis 10/1/1912 - 10/23/1912 |
| Immediate, Secondary, or Contributory Cause and How Long | Ill- Colitis |
| Physician and Address | S. J. Windsor; Dames Quarter Md |
| Burial Place, Date, Undertaker, and Address | Dames 1/4 Md 10/24/1912 L. G. Webster Deal Island 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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