Page (PDF) | 19 |
---|---|
Certificate Number | 7051 |
Name of Deceased | Elzey, (not named infant) |
Place of Death | Somerset |
Town of Death | Champ |
Sex | F |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 7/26/1914 |
Age (year, month, days) | 3 1/2 min |
Occupation or Employer | none |
Birthplace | Champ, Md |
Father's Name | Frederick Lee Elzey |
Father's Birthplace | Champ, Md |
Mother's Name | Janie Elzey |
Mother's Birthplace | Champ, Md |
Informant (Relationship and Address) | Frederick Lee Elzey; Champ Md |
Date of Death | 7/26/1914 |
Cause of Death and Time Attended by Doctor | imperfect circulation |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | ? Bozman; Champ |
Burial Place, Date, Undertaker, and Address | Champ; 7/27/1914; Frederick Elzey; Champ Md |
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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