| Page (PDF) | 35 |
|---|---|
| Certificate Number | x |
| Name of Deceased | King, infant |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | infant |
| Date of Birth | 11/30/1912 |
| Age (year, month, days) | 7 ds |
| Occupation or Employer | - |
| Birthplace | Maryland |
| Father's Name | Anthony King |
| Father's Birthplace | Md |
| Mother's Name | Mamie Jones |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Anthony King; Princess Anne Md |
| Date of Death | 12/7/1912 |
| Cause of Death and Time Attended by Doctor | Tetanus 12/6/1912 |
| Immediate, Secondary, or Contributory Cause and How Long | convulsions |
| Physician and Address | Chas T Fisher; Princess Anne, Md |
| Burial Place, Date, Undertaker, and Address | Wesley; 12/8/1912; J.J. Denis; Princess Anne |
| 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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