Page (PDF) | 5 |
---|---|
Certificate Number | 13568 |
Name of Deceased | Barclay, Clifford Randolph |
Place of Death | Wicomico |
Town of Death | Nanticoke |
Sex | M |
Race | colored |
Married, Widowed, or Single | x |
Date of Birth | 9/18/1916 |
Age (year, month, days) | x |
Occupation or Employer | x |
Birthplace | Wicomico |
Father's Name | William Houston Barclay |
Father's Birthplace | Wicomico |
Mother's Name | Onwillie Francis Long |
Mother's Birthplace | Wicomico |
Informant (Relationship and Address) | William Houston Barclay; Nanticoke |
Date of Death | 9/18/1916 |
Cause of Death and Time Attended by Doctor | stillbirth |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | JH Oday; Jesterville |
Burial Place, Date, Undertaker, and Address | Odfehas [Odd Fellows] Cemtery; 9/18/1916; CG Messick; Bivalve |
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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