Page (PDF) | 5 |
---|---|
Certificate Number | 6773 |
Name of Deceased | (Bivans), unnamed baby |
Place of Death | Worcester |
Town of Death | near Pocomoke |
Sex | M |
Race | blk |
Married, Widowed, or Single | x |
Date of Birth | 4/12/1917 |
Age (year, month, days) | premature dead born |
Occupation or Employer | x |
Birthplace | Md |
Father's Name | Joh F Bivans |
Father's Birthplace | Va |
Mother's Name | Annie Hinman |
Mother's Birthplace | VA |
Informant (Relationship and Address) | Martha Williams; Pocomoke #2 |
Date of Death | 4/12/1917 |
Cause of Death and Time Attended by Doctor | premature birth; dead when delivered |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | ES Hargis; Pocomoke |
Burial Place, Date, Undertaker, and Address | Andis Farm Pocomoke; 4/12/1917; Joh F Bevans; 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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