Record #3078 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	45
Certificate Number	22935
Name of Deceased	Smith, infant
Place of Death	Somerset
Town of Death	Mt Vernon
Sex	M
Race	col
Married, Widowed, or Single	single
Date of Birth	11/20/1916
Age (year, month, days)	1 mos 11 ds
Occupation or Employer	none
Birthplace	Somerset
Father's Name	Richard Smith
Father's Birthplace	Somerset
Mother's Name	Elsie Jones
Mother's Birthplace	Somerset
Informant (Relationship and Address)	Gus Jones; P Anne Md
Date of Death	12/31/1916
Cause of Death and Time Attended by Doctor	bronchial pneumonia; had no infectious disease
Immediate, Secondary, or Contributory Cause and How Long	–
Physician and Address	HA Barnes; Pr Anne
Burial Place, Date, Undertaker, and Address	Mt Vernon; 12/31/1916; Dashiell Bros; P Anne
Length of Residence, Where Disease Contracted, Former Residence	–
Other Notes	–

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[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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