| Page (PDF) | 37 |
|---|---|
| Certificate Number | 18879 |
| Name of Deceased | Lane, Signey |
| Place of Death | Somerset |
| Town of Death | nr Pocomoke |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | x |
| Date of Birth | 1916 |
| Age (year, month, days) | ab 1 yrs |
| Occupation or Employer | none |
| Birthplace | Md |
| Father's Name | Signey Lane |
| Father's Birthplace | Md |
| Mother's Name | Stevenson |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Signey Lane; Pocomoke |
| Date of Death | 10/16/1917 |
| Cause of Death and Time Attended by Doctor | tuberculosis; abt 6 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | CA Powell; Pocomoke; no dr. |
| Burial Place, Date, Undertaker, and Address | Christ ME; 10/17/1917; Ballard Bros; Pocomoke |
| 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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