Page (PDF) | 35 |
---|---|
Certificate Number | 2569 |
Name of Deceased | [Hollis], [no name] |
Place of Death | Somerset |
Town of Death | Upper Fairmount |
Sex | x |
Race | colored |
Married, Widowed, or Single | foetus |
Date of Birth | 2/2224/1916 |
Age (year, month, days) | x |
Occupation or Employer | none |
Birthplace | Upper Fairmount; Md |
Father's Name | Geo R Hollis |
Father's Birthplace | Maryland |
Mother's Name | Osceola Lawrence |
Mother's Birthplace | Pennsylvania |
Informant (Relationship and Address) | Geo R Hollis; Upper Fairmount Md |
Date of Death | 2/24/1916 |
Cause of Death and Time Attended by Doctor | dead born; premature birth |
Immediate, Secondary, or Contributory Cause and How Long | still birth |
Physician and Address | GE Dickinson; Upper Fairmount |
Burial Place, Date, Undertaker, and Address | Upper Fairmout; 2/24/1916; Geo R Hollis; Up Fairmount 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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