| Page (PDF) | 17 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Gale, Samuel E. |
| Place of Death | Somerset |
| Town of Death | Mr. Vernon |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | S |
| Date of Birth | Oct, 1911 |
| Age (year, month, days) | 3 yrs 6 mos |
| Occupation or Employer | Baby |
| Birthplace | Somerset Co |
| Father's Name | James Gale |
| Father's Birthplace | Somerset Co |
| Mother's Name | Sallie Gale |
| Mother's Birthplace | Somerst |
| Informant (Relationship and Address) | Princess Anne, Md James Gale |
| Date of Death | 3/30/1911 |
| Cause of Death and Time Attended by Doctor | Pneumonia |
| Immediate, Secondary, or Contributory Cause and How Long | Pertusis |
| Physician and Address | H H Barnes, Princess Anne, Md |
| Burial Place, Date, Undertaker, and Address | Widgion 3/31/1911 Dashiell Bros undertaker Princess 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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