| Page (PDF) | 47 |
|---|---|
| Certificate Number | 8575 |
| Name of Deceased | Maddox, Randolph |
| Place of Death | Somerset |
| Town of Death | Upper Fairmount |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Single |
| Date of Birth | 4/6/1917 |
| Age (year, month, days) | 1 mos 18 ds |
| Occupation or Employer | None |
| Birthplace | Maryland |
| Father's Name | Stephen Maddox |
| Father's Birthplace | Maryland |
| Mother's Name | Henny Waters |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Stephen Maddox; Upper Fairmount |
| Date of Death | 5/24/1917 |
| Cause of Death and Time Attended by Doctor | Acute Gastritis 3 ds |
| Immediate, Secondary, or Contributory Cause and How Long | Convulsions |
| Physician and Address | G.E. Dickinson, M.D.; Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | Colored Cemetery 5/24/1917 Herbert Wilson, Up Fairmont |
| 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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