Page (PDF) | 5 |
---|---|
Certificate Number | 16011 |
Name of Deceased | Crockitt, Harry |
Place of Death | Wicomico |
Town of Death | Salisbury; PG Hosp. |
Sex | M |
Race | black |
Married, Widowed, or Single | single |
Date of Birth | not known |
Age (year, month, days) | abt 28 |
Occupation or Employer | laborer |
Birthplace | Delaware |
Father's Name | Daniel Crockitt |
Father's Birthplace | Delaware |
Mother's Name | not known to me |
Mother's Birthplace | not known |
Informant (Relationship and Address) | Alvin White; Laurel, Del |
Date of Death | 9/19/1915 |
Cause of Death and Time Attended by Doctor | intestinal perforation?; 4 ds |
Immediate, Secondary, or Contributory Cause and How Long | typhoic fever; 2 mos |
Physician and Address | J Mc F Dick; Salisbury Md |
Burial Place, Date, Undertaker, and Address | Laurel Del; 9/21/1915; OGEB Riggin; Laurel, Del |
Length of Residence, Where Disease Contracted, Former Residence | 2 ds, in state 20 hrs; Sussex Co Del |
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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