Page (PDF) | 5 |
---|---|
Certificate Number | 7002 |
Name of Deceased | Blake, Walter |
Place of Death | Worcester |
Town of Death | Bishopville Md |
Sex | M |
Race | black |
Married, Widowed, or Single | single |
Date of Birth | 5/26/190717 hrs 11 Mos 20 ds |
Age (year, month, days) | 7 yrs 11 mos 20 ds |
Occupation or Employer | x |
Birthplace | Maryland |
Father's Name | David Blake |
Father's Birthplace | Maryland |
Mother's Name | Lida Jones |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | David Blake; Bishipville Md |
Date of Death | 5/16/1915 |
Cause of Death and Time Attended by Doctor | convulsions brought on by strychnine which was taken by mistake |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Rollins P Collins; Bishopville Md |
Burial Place, Date, Undertaker, and Address | Long Chappel; 5/17/1915; PF Watson; Selbyville Del |
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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