| Page (PDF) | 25 |
|---|---|
| Certificate Number | 6586 |
| Name of Deceased | Kirkwood or Merrill |
| Place of Death | Somerset |
| Town of Death | nr Pocomoke |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | X |
| Date of Birth | 4/20/1917 |
| Age (year, month, days) | Still born |
| Occupation or Employer | X |
| Birthplace | Somerset Co, Md |
| Father's Name | Frank Merrill |
| Father's Birthplace | Md |
| Mother's Name | Hattie Kirkwood |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Edwin Cottman, Pocomoke |
| Date of Death | 4/19/1917 |
| Cause of Death and Time Attended by Doctor | X (No Doctor) |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | C.A. Powell, Pocomoke |
| Burial Place, Date, Undertaker, and Address | Finley Chapel 4/21/1917 Stevenson Bros, Pocomoke |
| 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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