Record #3352 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922
| Page (PDF) | 11 |
|---|---|
| Certificate Number | 8743 |
| Name of Deceased | [Henry], [not named] |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | x |
| Date of Birth | 5/12/1917 |
| Age (year, month, days) | x |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | unknown |
| Father's Birthplace | unknown |
| Mother's Name | Maggie Henry |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | James Henry; Berlin Md |
| Date of Death | 5/12/1917 |
| Cause of Death and Time Attended by Doctor | no doctor in attendance; still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | WL Holloway; Berlin Md |
| Burial Place, Date, Undertaker, and Address | St Pauls Cemetary; 5/13/1917; JW Burbage & Bro; Berlin 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.