| Page (PDF) | 61 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Smith, Samuel James |
| Place of Death | Somerset |
| Town of Death | near Pocomoke |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | M |
| Date of Birth | Do not know |
| Age (year, month, days) | 84 yrs |
| Occupation or Employer | Farmer |
| Birthplace | Md |
| Father's Name | Benjamin Smith |
| Father's Birthplace | Md |
| Mother's Name | Sair Smith |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | A J. Waters, Pocomoke City, Md |
| Date of Death | 3/29/1911 |
| Cause of Death and Time Attended by Doctor | Senile decay |
| Immediate, Secondary, or Contributory Cause and How Long | Exhaustion, 5 days |
| Physician and Address | T W Wilson, M.D. , Pocomoke City |
| Burial Place, Date, Undertaker, and Address | - |
| 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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