| Page (PDF) | 3 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Blount, Leah Jane |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | F |
| Race | negro |
| Married, Widowed, or Single | M |
| Date of Birth | – |
| Age (year, month, days) | 46 |
| Occupation or Employer | housewife |
| Birthplace | Princess Anne |
| Father's Name | Levin Pollitt |
| Father's Birthplace | Somerset |
| Mother's Name | Jane Pollitt |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Wm. H. Blount, husband |
| Date of Death | 6/24/1910 |
| Cause of Death and Time Attended by Doctor | pleurisy, 2 mos |
| Immediate, Secondary, or Contributory Cause and How Long | mitral regurgitation, unknown |
| Physician and Address | C. L. Beaven, Princess Anne |
| Burial Place, Date, Undertaker, and Address | – |
| Length of Residence, Where Disease Contracted, Former Residence | - |
| Other Notes | spouse - Wm. H. Blount |
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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