| Page (PDF) | 17 |
|---|---|
| Certificate Number | 10218 |
| Name of Deceased | [Croswell], [not named] |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | not known |
| Race | col |
| Married, Widowed, or Single | x |
| Date of Birth | placenta 6/3/1917 |
| Age (year, month, days) | x |
| Occupation or Employer | none |
| Birthplace | Maryland |
| Father's Name | Frank Croswell |
| Father's Birthplace | Maryland |
| Mother's Name | Mary R Moore |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Frank Croswell; Marion Md |
| Date of Death | [6/3/1917] |
| Cause of Death and Time Attended by Doctor | placenta borned 6/3/1917 |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | George C Coulbourn; Marion Md |
| Burial Place, Date, Undertaker, and Address | no permit issued |
| 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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