| Page (PDF) | 19 |
|---|---|
| Certificate Number | 5409 |
| Name of Deceased | Fontain Jr, Jas S |
| Place of Death | Somerset |
| Town of Death | near Pr Anne |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 12/20/1915 |
| Age (year, month, days) | 5 mos |
| Occupation or Employer | none |
| Birthplace | Somerset |
| Father's Name | Jno S Fontaine |
| Father's Birthplace | Somerset |
| Mother's Name | Minnie Ballard |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Lemuel? Williams; Westover Md R1 |
| Date of Death | 4/21/1916 |
| Cause of Death and Time Attended by Doctor | marasmus |
| Immediate, Secondary, or Contributory Cause and How Long | asthma |
| Physician and Address | TJ Smith; Pr Anne |
| Burial Place, Date, Undertaker, and Address | Curtis; 4/22/1916; Herbert Wilson; Westover 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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