| Page (PDF) | 33 |
|---|---|
| Certificate Number | 12151 |
| Name of Deceased | [Moore or Showell, not named] |
| Place of Death | Worcester |
| Town of Death | Ocean City |
| Sex | x |
| Race | negro |
| Married, Widowed, or Single | x |
| Date of Birth | 7/9/1915 |
| Age (year, month, days) | - |
| Occupation or Employer | none |
| Birthplace | Ocean City Md |
| Father's Name | Jas T Moore, col |
| Father's Birthplace | Baltimore |
| Mother's Name | Sallie Showell, col |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | Jas T Moore, col; Ocean City |
| Date of Death | 7/9/1915 |
| Cause of Death and Time Attended by Doctor | premature birth; 5 month breach |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | KJ Townsend; Ocean City |
| Burial Place, Date, Undertaker, and Address | Pitts Graveyard; 7/10/1915; Jas L Moore, col; Ocean City |
| 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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