| Page (PDF) | 21 |
|---|---|
| Certificate Number | 9861 |
| Name of Deceased | Dorman, Mervin Penull |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 2/11/1916 |
| Age (year, month, days) | 5 mos |
| Occupation or Employer | x |
| Birthplace | Princess Anne |
| Father's Name | Jim? Dorman |
| Father's Birthplace | Somerset |
| Mother's Name | Bethend Letherbery |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Jim Dorman, father; Princess Anne |
| Date of Death | 7/11/1916 |
| Cause of Death and Time Attended by Doctor | cholera infantum; no dr attened |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Tj Smith; Princess Ane |
| Burial Place, Date, Undertaker, and Address | Polks Road; 7/12/1916; Dennis & Nutter; Polks Road |
| 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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