Record #1698 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922
| Page (PDF) | 41 |
|---|---|
| Certificate Number | 5155 |
| Name of Deceased | unknown |
| Place of Death | Somerset |
| Town of Death | Dames Quarter |
| Sex | M |
| Race | B |
| Married, Widowed, or Single | unknown |
| Date of Birth | 1914 |
| Age (year, month, days) | unknown |
| Occupation or Employer | unknown |
| Birthplace | unknown |
| Father's Name | unknown |
| Father's Birthplace | unknown |
| Mother's Name | unknown |
| Mother's Birthplace | unknown |
| Informant (Relationship and Address) | Chas E Bozman, JP; Dames Quarter |
| Date of Death | 5/2/1914 |
| Cause of Death and Time Attended by Doctor | drowneded; found drowned no further information |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | TJ Smith; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Dames Quarter; 5/2/1914; Chas E Bozman; Dames Quarter |
| 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.