| Page (PDF) | 41 |
|---|---|
| Certificate Number | 13414 |
| Name of Deceased | [Miles], [unnamed] |
| Place of Death | Somerset |
| Town of Death | Westover |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 9/13/1916 |
| Age (year, month, days) | 5 min |
| Occupation or Employer | none |
| Birthplace | Maryland |
| Father's Name | John Miles |
| Father's Birthplace | Maryland |
| Mother's Name | Martha Smith |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | John Miles; Westover, Md |
| Date of Death | 9/13/1916 |
| Cause of Death and Time Attended by Doctor | premature birth about 6 or 7 months |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GE Dickinson; Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | Westover Md; 9/14/1916; John Miles; Westover Md |
| 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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