| Page (PDF) | 3 |
|---|---|
| Certificate Number | 15855 |
| Name of Deceased | Blake, Amanda |
| Place of Death | Worcester |
| Town of Death | near Snow Hill |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 10//20/1884 |
| Age (year, month, days) | 19 y 1 mos |
| Occupation or Employer | cook |
| Birthplace | Worcester Co |
| Father's Name | John Blake |
| Father's Birthplace | Worcester Co Md |
| Mother's Name | heter Blake |
| Mother's Birthplace | Worcester Md |
| Informant (Relationship and Address) | Taylor Gate Cemetery; 11/21/1913; WS Williams; Snow Hill Md |
| Date of Death | 11/10/1913 |
| Cause of Death and Time Attended by Doctor | no physician attended; child seemed to have cold & croup caused death |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Q O Payne; local registrar |
| Burial Place, Date, Undertaker, and Address | Cool Spring Cemetary Md; 11/12/1913; Joshua Ward; Girdletree Md |
| 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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