Page (PDF) | 81 |
---|---|
Certificate Number | 9891 |
Name of Deceased | not known |
Place of Death | Somerset |
Town of Death | Crisfield |
Sex | M |
Race | supposed ot be colored |
Married, Widowed, or Single | x |
Date of Birth | x |
Age (year, month, days) | x |
Occupation or Employer | x |
Birthplace | x |
Father's Name | x |
Father's Birthplace | x |
Mother's Name | x |
Mother's Birthplace | x |
Informant (Relationship and Address) | x |
Date of Death | not known |
Cause of Death and Time Attended by Doctor | found floating in Bay by Capt Evans of Easter Shore; had been in water at least 2 months; not identified |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | J Saml Lawson, JP coroner; Crisfield |
Burial Place, Date, Undertaker, and Address | Potters field; 7/5/1916; IS Lawson; Crisfield |
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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