Page (PDF) | 11 |
---|---|
Certificate Number | – |
Name of Deceased | Dix, Addison J |
Place of Death | Worcester |
Town of Death | Pocomoke City |
Sex | M |
Race | Colored |
Married, Widowed, or Single | S |
Date of Birth | – |
Age (year, month, days) | 23 yrs |
Occupation or Employer | Waiter in hotel |
Birthplace | Worcester Co |
Father's Name | Addison W. Dix |
Father's Birthplace | Pocomoke City |
Mother's Name | Clara Fisher |
Mother's Birthplace | Accomac Co., Va |
Informant (Relationship and Address) | Addison W. Dix, father |
Date of Death | 11/28/1910 |
Cause of Death and Time Attended by Doctor | Pulmonary tuberculosis, 2 years |
Immediate, Secondary, or Contributory Cause and How Long | Died Suddenly |
Physician and Address | R. Ree Hall, Pocomoke City, Md |
Burial Place, Date, Undertaker, and Address | – |
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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