Page (PDF) | 5 |
---|---|
Certificate Number | – |
Name of Deceased | Church, Sedonia |
Place of Death | Somerset |
Town of Death | Marion |
Sex | F |
Race | Colored |
Married, Widowed, or Single | S |
Date of Birth | 12/25/1910 |
Age (year, month, days) | 1 mos 23 days |
Occupation or Employer | none |
Birthplace | Somerset Co |
Father's Name | Marion Savage |
Father's Birthplace | Somerset Co. |
Mother's Name | Hattie Church |
Mother's Birthplace | Somerset Co |
Informant (Relationship and Address) | Herbert Jones, Kingston, Md |
Date of Death | 2/17/1911 |
Cause of Death and Time Attended by Doctor | Croup |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | T J Smith (not in attendance) |
Burial Place, Date, Undertaker, and Address | Waters Chappel 2/18/1911 A. S. Dixon undertaker, Marion |
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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