| Page (PDF) | 33 |
|---|---|
| Certificate Number | 17342 |
| Name of Deceased | Kellum, Clarence James |
| Place of Death | Wicomico |
| Town of Death | Salisbury #13 Camden Dist |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | unknown |
| Age (year, month, days) | 21 yrs |
| Occupation or Employer | worker in canning house |
| Birthplace | 21 yrs |
| Father's Name | Lorenzo Kellum |
| Father's Birthplace | Accomac Co |
| Mother's Name | Nelia Sample |
| Mother's Birthplace | Accomac Co |
| Informant (Relationship and Address) | Wm Bailey; Craddockville Va |
| Date of Death | 12/9/1913 |
| Cause of Death and Time Attended by Doctor | pistol wound of vena cava supposed homicidal |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | J Mc F Dick; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | Craddockville; 12/11/1913; Jf Steart; Salisbury Md |
| Length of Residence, Where Disease Contracted, Former Residence | 5 ds Accomac Co Va |
| 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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