| Page (PDF) | 35 |
|---|---|
| Certificate Number | 13665 |
| Name of Deceased | [Maddox], [unnamed] |
| Place of Death | Somerset |
| Town of Death | Oriole |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | x |
| Date of Birth | 7/22/1916 |
| Age (year, month, days) | 1 mos 16 ds |
| Occupation or Employer | x |
| Birthplace | Oriole Md |
| Father's Name | Sylvester Maddox |
| Father's Birthplace | Oriole Md |
| Mother's Name | Ethel Lane |
| Mother's Birthplace | Oriole Md |
| Informant (Relationship and Address) | Sylvester Maddox; Oriole Md |
| Date of Death | 9/7/1916 |
| Cause of Death and Time Attended by Doctor | syncope |
| Immediate, Secondary, or Contributory Cause and How Long | enfeebled heart from birth |
| Physician and Address | John T Ruby; Oriole |
| Burial Place, Date, Undertaker, and Address | x |
| 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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