| Page (PDF) | 37 |
|---|---|
| Certificate Number | 9869 |
| Name of Deceased | Hayward, Ordis F |
| Place of Death | Somerset |
| Town of Death | Pr Anne |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 10/13/1915 |
| Age (year, month, days) | 20 mos |
| Occupation or Employer | x |
| Birthplace | Somerset |
| Father's Name | L Hayward |
| Father's Birthplace | Somerset |
| Mother's Name | Mary E Cannon |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | L Hayward; P Anne RD4 |
| Date of Death | 1/30/1916 |
| Cause of Death and Time Attended by Doctor | child had pneumonia; not well since taken worse few days ago legs & body swollen |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Tj Smith; Pr Anne |
| Burial Place, Date, Undertaker, and Address | Union; 8/1/1916; Wm Barnes; Pr Anne |
| 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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