| Page (PDF) | 63 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Smith, Infant |
| Place of Death | Somerset |
| Town of Death | Near Marion |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | S |
| Date of Birth | 2/1/1911 |
| Age (year, month, days) | 1 mos 22 das |
| Occupation or Employer | Infant |
| Birthplace | Maryland |
| Father's Name | Alfred Smith |
| Father's Birthplace | Somerset Co |
| Mother's Name | Laura Adams |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Alfred Smith, Marion , Md |
| Date of Death | 3/20/1911 |
| Cause of Death and Time Attended by Doctor | Deformet & Rupture, 1 mos 22 days |
| Immediate, Secondary, or Contributory Cause and How Long | Deformity & Rupture 1 mos 22 days |
| Physician and Address | J.A.B Allen, M.D. Marion Sta, Md |
| Burial Place, Date, Undertaker, and Address | Near Marion, 3/23/1911, A.W. Dixon undertaker, Marion, 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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