| Page (PDF) | 73 |
|---|---|
| Certificate Number | 1126 |
| Name of Deceased | Smith, [not named] |
| Place of Death | Somerset |
| Town of Death | Rehoboth |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | still born |
| Date of Birth | 1/6/1917 |
| Age (year, month, days) | still born |
| Occupation or Employer | x |
| Birthplace | Somerset |
| Father's Name | Alfred Smith |
| Father's Birthplace | Somerset |
| Mother's Name | Laura Dennis |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Alfred Smith; Rehoboth, Md |
| Date of Death | still born |
| Cause of Death and Time Attended by Doctor | don't know |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | IAB Allen, Marion, Md |
| Burial Place, Date, Undertaker, and Address | Ebenezer; 1/8/197; John Roberts; Shelltown, 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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