| Page (PDF) | 31 |
|---|---|
| Certificate Number | 10226 |
| Name of Deceased | [Hargis], not named |
| Place of Death | Somerset |
| Town of Death | Eden |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 6/18/1917 |
| Age (year, month, days) | – |
| Occupation or Employer | none |
| Birthplace | Eden, Md |
| Father's Name | Henry Thomas Hargis |
| Father's Birthplace | West Md |
| Mother's Name | Mary Virginia Wise |
| Mother's Birthplace | Oriole Md |
| Informant (Relationship and Address) | Henry T Hargis; Eden Md |
| Date of Death | 6/18/1917 |
| Cause of Death and Time Attended by Doctor | still borned on birth |
| Immediate, Secondary, or Contributory Cause and How Long | syphilis |
| Physician and Address | WO Daisey; Fruitland md |
| Burial Place, Date, Undertaker, and Address | home cemetery; 6/18/1917; husband; Eden 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.
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