Page (PDF) | 19 |
---|---|
Certificate Number | 12731 |
Name of Deceased | Hayward, John |
Place of Death | Somerset |
Town of Death | Dublin Dist |
Sex | M |
Race | Black |
Married, Widowed, or Single | single |
Date of Birth | 10/3/1911 |
Age (year, month, days) | 2 yrs |
Occupation or Employer | - |
Birthplace | Somerset |
Father's Name | L J Hayward |
Father's Birthplace | Somerst |
Mother's Name | Mary Cannon |
Mother's Birthplace | Somerset |
Informant (Relationship and Address) | L. J. Hayward; Princess Ann RFD |
Date of Death | 9/12/1913 |
Cause of Death and Time Attended by Doctor | child has been sick since birth was paralyzed in lower limbs; no Dr in attendance |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | T J Smith (not in attendance) |
Burial Place, Date, Undertaker, and Address | ?/ 9/13/1913; Wm James; Princess |
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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