Page (PDF) | 53 |
---|---|
Certificate Number | 14071 |
Name of Deceased | Shockley, infant no name |
Place of Death | Worcester |
Town of Death | Snow Hill |
Sex | F |
Race | colord |
Married, Widowed, or Single | single |
Date of Birth | 11/10/1914 |
Age (year, month, days) | 1 mos 6 ds |
Occupation or Employer | - |
Birthplace | Maryland |
Father's Name | Homer Shockley |
Father's Birthplace | Maryland |
Mother's Name | Hattie Corbin |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Steward Dale; Snow Hill RR2 |
Date of Death | 12/16/1914 |
Cause of Death and Time Attended by Doctor | melena? |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | John L Riley; Snow Hill Md |
Burial Place, Date, Undertaker, and Address | Hutts Chappel; 12/17/1914; Stewart Dale; Snow Hill |
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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