| Page (PDF) | 57 |
|---|---|
| Certificate Number | 4355 |
| Name of Deceased | Shockly, Lola |
| Place of Death | Worcester |
| Town of Death | near Snow Hill |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 1/30/1911 |
| Age (year, month, days) | 3 yrs 2 mos 15 ds |
| Occupation or Employer | none |
| Birthplace | Worcester |
| Father's Name | Alfred Shockly |
| Father's Birthplace | Worcester |
| Mother's Name | Arenia Ptonnom? |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | Soldon T Powell |
| Date of Death | 4/15/1914 |
| Cause of Death and Time Attended by Doctor | extensive burn of limbs & trunk; 1 ds |
| Immediate, Secondary, or Contributory Cause and How Long | playing with matches |
| Physician and Address | E Ewisehart?; Snow Hill |
| Burial Place, Date, Undertaker, and Address | Friendship Cemetery; 4/26/1914; Wm S Williams; Snow Hill |
| 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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