| Page (PDF) | 7 |
|---|---|
| Certificate Number | 11810 |
| Name of Deceased | Brooks, [no name] |
| Place of Death | Somerset |
| Town of Death | Lawsonia Dist |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 11/5/1914 |
| Age (year, month, days) | born dead 6 mos |
| Occupation or Employer | none |
| Birthplace | Somerset |
| Father's Name | Dudley Brooks |
| Father's Birthplace | Marion Station, Md |
| Mother's Name | Dela Miles |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Dela Miles; Crisfield |
| Date of Death | 11/5/1914 |
| Cause of Death and Time Attended by Doctor | 5 months fetus born dead |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | RR Norris; Crisfield |
| Burial Place, Date, Undertaker, and Address | Family Burying Ground; 11/5/1914; Dudley Br?; Lawsonia |
| 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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