| Page (PDF) | 63 |
|---|---|
| Certificate Number | 14888 |
| Name of Deceased | Shockley, Corrie? M |
| Place of Death | Wicomico |
| Town of Death | Salisbury; 509 Moore? St |
| Sex | F |
| Race | AA |
| Married, Widowed, or Single | single |
| Date of Birth | 8/4/1917 |
| Age (year, month, days) | 11 ds |
| Occupation or Employer | not any |
| Birthplace | Maryland |
| Father's Name | Harold Shockley |
| Father's Birthplace | Del |
| Mother's Name | Elsie Hayman |
| Mother's Birthplace | Del |
| Informant (Relationship and Address) | Harold Shockley; 509 Mo9ore St Salisbury |
| Date of Death | 8/15/1917 |
| Cause of Death and Time Attended by Doctor | premature birth; 11 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | DB Potter; Salisbury |
| Burial Place, Date, Undertaker, and Address | Salisbury Cemetery; 8/11/1917; JF Stewart; Salisbury 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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