| Page (PDF) | 69 |
|---|---|
| Certificate Number | 7112 |
| Name of Deceased | Smith, Charles |
| Place of Death | Wicomico |
| Town of Death | Salisbury; PG Hosp |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 6/1916 |
| Age (year, month, days) | 11 mos |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Harry Smith |
| Father's Birthplace | Maryland |
| Mother's Name | Savanah Schoolfield |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Edith Showell; Showells Md |
| Date of Death | 5/15/1916 |
| Cause of Death and Time Attended by Doctor | burned both lower extrmeties & body; clothing caught fire; immediate |
| Immediate, Secondary, or Contributory Cause and How Long | shock; 2 ds |
| Physician and Address | JMcF Dick?; Salsibiury Md |
| Burial Place, Date, Undertaker, and Address | Dukes burying ground; 5/1916; CJ Evans; Berlin Md |
| Length of Residence, Where Disease Contracted, Former Residence | 2 ds; lifetime Showells Md |
| 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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