| Page (PDF) | 25 |
|---|---|
| Certificate Number | x |
| Name of Deceased | Floyd, John |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | Married |
| Date of Birth | 1/30/1905 |
| Age (year, month, days) | 55 yrs |
| Occupation or Employer | Farmer / Laborer |
| Birthplace | Md |
| Father's Name | John Daniel |
| Father's Birthplace | Md |
| Mother's Name | Flora Horsey |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Ernest Floyd, Marion |
| Date of Death | 11/12/1912 |
| Cause of Death and Time Attended by Doctor | Gen'l disability was in the insane hospital about 1 year ago. No Dr. |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | F. T. Adams Marion |
| Burial Place, Date, Undertaker, and Address | near Marion 11/13/1912 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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