| Page (PDF) | 29 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Horsey, Samuel H. |
| Place of Death | Somerset |
| Town of Death | near Pocomoke |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | M |
| Date of Birth | 2/18/1838 |
| Age (year, month, days) | 72 yrs 8 mos |
| Occupation or Employer | - |
| Birthplace | Somerset |
| Father's Name | Andrew Ballard |
| Father's Birthplace | Somerset county |
| Mother's Name | Sadie Horsey |
| Mother's Birthplace | Somerset county |
| Informant (Relationship and Address) | John T. Horsey, son Westover, Md |
| Date of Death | 1/3/1911 |
| Cause of Death and Time Attended by Doctor | apoplexy due to degerated arteries, few minutes |
| Immediate, Secondary, or Contributory Cause and How Long | Debility, gradual |
| Physician and Address | F.C. Serium, M.D. Pocomoke, Md |
| Burial Place, Date, Undertaker, and Address | Cottage Grove, Jan 5 1911, Charles Ballard, undertaker, Pocomoke |
| 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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