Record #2810 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922
| Page (PDF) | 25 |
|---|---|
| Certificate Number | 8483 |
| Name of Deceased | Conquest, Alberta |
| Place of Death | Wicomico |
| Town of Death | Salisbury; PG Hosp |
| Sex | F |
| Race | B |
| Married, Widowed, or Single | single |
| Date of Birth | 3/1916 |
| Age (year, month, days) | 3 mos |
| Occupation or Employer | none |
| Birthplace | Accomac Co VA |
| Father's Name | unknown |
| Father's Birthplace | unknown |
| Mother's Name | unknown |
| Mother's Birthplace | unknown |
| Informant (Relationship and Address) | PG Hospital; Salisbury Md |
| Date of Death | 6/17/1916 |
| Cause of Death and Time Attended by Doctor | severe burns of chest & left arm, accidental; clothing caught fire |
| Immediate, Secondary, or Contributory Cause and How Long | acute ? |
| Physician and Address | JMcF Dick?; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | New Church; [VA]; 6/17/1916; JF Stewart; Salisbury |
| Length of Residence, Where Disease Contracted, Former Residence | 3 ds; Accomac co Va |
| 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.