Page (PDF) | 5 |
---|---|
Certificate Number | 15856 |
Name of Deceased | Blake, Katie |
Place of Death | Worcester |
Town of Death | Stockton |
Sex | F |
Race | black |
Married, Widowed, or Single | single |
Date of Birth | unknown |
Age (year, month, days) | abt 10 mos |
Occupation or Employer | none |
Birthplace | Wilmington Del |
Father's Name | Sidney Blake |
Father's Birthplace | Maryland |
Mother's Name | Katie Stephenson |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Sanders Collick, Girdletree, Md |
Date of Death | 11/12/1913 |
Cause of Death and Time Attended by Doctor | no physician in attendance |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | CK S Jones |
Burial Place, Date, Undertaker, and Address | Queponco C. yard; 11/13/1913; JW Burbage 7 Bro; Berlin 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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