Page (PDF) | 53 |
---|---|
Certificate Number | 12114 |
Name of Deceased | Kellum, Phyllis Marie |
Place of Death | Wicomico |
Town of Death | Allen |
Sex | F |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 4/22/1915 |
Age (year, month, days) | 2 mos 19 ds |
Occupation or Employer | none |
Birthplace | Md |
Father's Name | James Kellum |
Father's Birthplace | VA |
Mother's Name | Maggie Johnson |
Mother's Birthplace | Virginia |
Informant (Relationship and Address) | James Kellom; Allen, Md |
Date of Death | 7/10/1915 |
Cause of Death and Time Attended by Doctor | broncho pneumonia; abt 10 ds |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Jos L McLaughlin; Fruitland Md |
Burial Place, Date, Undertaker, and Address | Allen; 7/11/1815; Holloway & Co; Salisbury Md |
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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