Page (PDF) | 3 |
---|---|
Certificate Number | – |
Name of Deceased | Barclay, Infant |
Place of Death | Somerset |
Town of Death | Mt. Vernon |
Sex | M |
Race | Colored |
Married, Widowed, or Single | S |
Date of Birth | 3/28/1911 |
Age (year, month, days) | 2 days |
Occupation or Employer | Infant |
Birthplace | Somerset Co |
Father's Name | Bennie Barclay |
Father's Birthplace | Somerst Co |
Mother's Name | Susie Jones |
Mother's Birthplace | Somerset |
Informant (Relationship and Address) | Bennie Barclay P Anne Route #2 |
Date of Death | 3/30/1911 |
Cause of Death and Time Attended by Doctor | Premature Birth |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | H A Barnes MD, Princes Anne, Md Route #2 |
Burial Place, Date, Undertaker, and Address | Mt Vernon 3/31/1911 Dashiell Bros undertaker P Anne, 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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