| Page (PDF) | 31 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Lewis, James |
| Place of Death | Somerset |
| Town of Death | Upper Fairmont |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | M |
| Date of Birth | – |
| Age (year, month, days) | 48 yrs |
| Occupation or Employer | Waiter in Hotel |
| Birthplace | Lewis, Del |
| Father's Name | Wm Lewis |
| Father's Birthplace | Lewis, Del |
| Mother's Name | Rebecca Lewis |
| Mother's Birthplace | Lewis Del |
| Informant (Relationship and Address) | Amanda Lewis, wife |
| Date of Death | 10/18/1910 |
| Cause of Death and Time Attended by Doctor | Tuberculosis, 6 months |
| Immediate, Secondary, or Contributory Cause and How Long | Tuberculosis, 6 months |
| Physician and Address | G. E. Dickinson, Upper Fairmount, Md |
| Burial Place, Date, Undertaker, and Address | – |
| Length of Residence, Where Disease Contracted, Former Residence | Washington |
| Other Notes | Amanda Lewis |
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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