| Page (PDF) | 11 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Bevans, Dorothy Madaline |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | infant |
| Date of Birth | 6/11/1912 |
| Age (year, month, days) | 5 mos 2 ds |
| Occupation or Employer | - |
| Birthplace | Maryland |
| Father's Name | John Bevans |
| Father's Birthplace | Maryland |
| Mother's Name | Mary Ida Boston |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | John Bivans; Marion |
| Date of Death | 11/13/1912 |
| Cause of Death and Time Attended by Doctor | Bowell trouble |
| Immediate, Secondary, or Contributory Cause and How Long | no Dr. in last 4 weeks |
| Physician and Address | F. T Adams Marion |
| Burial Place, Date, Undertaker, and Address | Marumsco 11/14/1912 A.W. Dixon 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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