Page (PDF) | 3 |
---|---|
Certificate Number | 23119 |
Name of Deceased | Bennett, Harley |
Place of Death | Worcester |
Town of Death | Stockton |
Sex | M |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 10/15/1908 |
Age (year, month, days) | 8 yrs 2 mos 3 ds |
Occupation or Employer | school boy |
Birthplace | Maryland |
Father's Name | Irving Bennett |
Father's Birthplace | Maryland |
Mother's Name | Lizzie Rowly |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Irvin Bennett, Stockton Md |
Date of Death | 12/17/1916 |
Cause of Death and Time Attended by Doctor | acute hepatitis; 2 mos |
Immediate, Secondary, or Contributory Cause and How Long | diptheria; 3 wks |
Physician and Address | AF Woods; Greenbackville VA |
Burial Place, Date, Undertaker, and Address | Stockton Freeman? Cemetery; 12/19/1916; Rowley & Purnell; Stockton 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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