| Page (PDF) | 19 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Green, Harry |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | S |
| Date of Birth | – |
| Age (year, month, days) | 16 yrs |
| Occupation or Employer | farmer |
| Birthplace | Crisfield |
| Father's Name | John Green |
| Father's Birthplace | Md |
| Mother's Name | Tenly James |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | John Green, father |
| Date of Death | 10/15/1910 |
| Cause of Death and Time Attended by Doctor | Diptheria, 3 months |
| Immediate, Secondary, or Contributory Cause and How Long | Heart Legions, 4 days |
| Physician and Address | C. Corsand, Crisfield |
| Burial Place, Date, Undertaker, and Address | – |
| Length of Residence, Where Disease Contracted, Former Residence | Crisfield, Md |
| 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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