Page (PDF) | 5 |
---|---|
Certificate Number | 17221 |
Name of Deceased | Barclay, infant |
Place of Death | Somerset |
Town of Death | not known |
Sex | M |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 12/19/1913 |
Age (year, month, days) | 2 hrs |
Occupation or Employer | infant |
Birthplace | Somerset |
Father's Name | Theodore Barclay |
Father's Birthplace | Somerset |
Mother's Name | Maggie Key |
Mother's Birthplace | Pr. Anne? |
Informant (Relationship and Address) | Theodore Barclay; Princess Anne |
Date of Death | 12/19/1913 |
Cause of Death and Time Attended by Doctor | premature birth |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | HA Barnes; Princess Anne |
Burial Place, Date, Undertaker, and Address | Mt Vernon Md; 12/20/1913; Deshield Bros; 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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