| Page (PDF) | 81 |
|---|---|
| Certificate Number | 5628 |
| Name of Deceased | Von Church, Grace |
| Place of Death | Wicomico |
| Town of Death | near Delmar |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 7/14/1915 |
| Age (year, month, days) | 8 mos 16 ds |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | George Church |
| Father's Birthplace | Maryland |
| Mother's Name | Rosa Jeanette Wales |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | George Church; Delmar Dela |
| Date of Death | 4/1/1916 |
| Cause of Death and Time Attended by Doctor | pneumonia lobar; 4 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | NH Lynchl Del. |
| Burial Place, Date, Undertaker, and Address | Sandy Wales Cemetery; 4/2/1916; MW Ellis; Delmar, Dela |
| 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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