| Page (PDF) | 61 |
|---|---|
| Certificate Number | 6195 |
| Name of Deceased | Shockley, still born |
| Place of Death | Wicomico |
| Town of Death | Fruitland |
| Sex | F |
| Race | AA |
| Married, Widowed, or Single | - |
| Date of Birth | 6/22/1914 |
| Age (year, month, days) | still born |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Harold Shockley |
| Father's Birthplace | Delaware |
| Mother's Name | Essie Hayman |
| Mother's Birthplace | Delaware |
| Informant (Relationship and Address) | Mrs. Essie; Fruitland Md |
| Date of Death | 6/22/1914 |
| Cause of Death and Time Attended by Doctor | over work on mother & contracted pelvis |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | JW Roberts; Salisbury |
| Burial Place, Date, Undertaker, and Address | private cemetary; 6/22/1914; none; Fruitland |
| 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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