| Page (PDF) | 23 |
|---|---|
| Certificate Number | 1315 |
| Name of Deceased | Hayward [not named] |
| Place of Death | Wicomico |
| Town of Death | P.G. Hospital Salisbury |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Single |
| Date of Birth | 1/11/1917 |
| Age (year, month, days) | 7 mos dead fetus |
| Occupation or Employer | - |
| Birthplace | Wicomico Co, Md |
| Father's Name | Oscar Hayward |
| Father's Birthplace | Maryland |
| Mother's Name | Lizzie Jones |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Mrs Irvin, Supt P.G. Hospital; Salisbury, MD |
| Date of Death | 6/11/1917 |
| Cause of Death and Time Attended by Doctor | Decomposing dead fetus was delivered; newborn |
| Immediate, Secondary, or Contributory Cause and How Long | unknown |
| Physician and Address | J McIntire, M.D.; Salisbury, Md |
| Burial Place, Date, Undertaker, and Address | Cremated at P.G. Hospital 1/1917 Acting Mrs. Irvin, Supt P.G. Hospital, Salisbury, 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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