| Page (PDF) | 33 |
|---|---|
| Certificate Number | 6590 |
| Name of Deceased | (Maddox) Not named |
| Place of Death | Somerset |
| Town of Death | Manokin |
| Sex | F |
| Race | Black |
| Married, Widowed, or Single | X |
| Date of Birth | 3/31/1917 |
| Age (year, month, days) | 1 ds |
| Occupation or Employer | X |
| Birthplace | Maryland |
| Father's Name | Archie Maddox |
| Father's Birthplace | Maryland |
| Mother's Name | Lucretia Washington |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Archie Maddox, Manokin, Md |
| Date of Death | 4/1/1917 |
| Cause of Death and Time Attended by Doctor | Premature Birth (about 7M) (No physician in attendance) |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | G.E. Dickinson, M.D., Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | Jamestown Chruch yard 4/2/1917 Beauchamp Maddox, Manokin |
| 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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