Page (PDF) | 25 |
---|---|
Certificate Number | 952 |
Name of Deceased | Long - no name, illegitimate |
Place of Death | Worcester |
Town of Death | Pocomoke |
Sex | M |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 1/7/1913 |
Age (year, month, days) | - |
Occupation or Employer | - |
Birthplace | Worcester Co |
Father's Name | Samuel Fields |
Father's Birthplace | Worcester |
Mother's Name | Hattie Long |
Mother's Birthplace | Pocomoke City md |
Informant (Relationship and Address) | Samuel Long; Pocomoke md |
Date of Death | 1/1913 |
Cause of Death and Time Attended by Doctor | don't know; born dead |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | N E Sartorius Pocomoke |
Burial Place, Date, Undertaker, and Address | Pocomoke; 1/8/1913; Chas Ballard; Pocomoke |
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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