Page (PDF) | 25 |
---|---|
Certificate Number | 16021 |
Name of Deceased | Fooks, Monroe |
Place of Death | Wicomico |
Town of Death | Tyaskin |
Sex | M |
Race | C |
Married, Widowed, or Single | single |
Date of Birth | 9/12/1895 |
Age (year, month, days) | 21 yrs 1 mos 14 ds |
Occupation or Employer | farmer |
Birthplace | Md |
Father's Name | James Fooks |
Father's Birthplace | Md |
Mother's Name | Susan Carroll |
Mother's Birthplace | Md |
Informant (Relationship and Address) | James Fooks; Tyaskin |
Date of Death | 10/28/1916 |
Cause of Death and Time Attended by Doctor | no physician in attendance |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Lucy J Waller; Nanticoke Md |
Burial Place, Date, Undertaker, and Address | Tyaskin MP Cemetery; 10/28/1916; CG Messick; Bivalve 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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