| Page (PDF) | 21 |
|---|---|
| Certificate Number | 25816 |
| Name of Deceased | Gray, John Wiliam |
| Place of Death | Somerset |
| Town of Death | Crisfield; Tyler St |
| Sex | M |
| Race | negro |
| Married, Widowed, or Single | married |
| Date of Birth | 6/4/1870 |
| Age (year, month, days) | 47 yrs 5 mos 2 ds |
| Occupation or Employer | oyster opener |
| Birthplace | Acomac Co VA |
| Father's Name | Johhn H Gray |
| Father's Birthplace | Acomac Co VA |
| Mother's Name | Sarahy Joins |
| Mother's Birthplace | Acomac Co Va |
| Informant (Relationship and Address) | Pauline Gray; Crisfield Md |
| Date of Death | 11/6/1917 |
| Cause of Death and Time Attended by Doctor | tuberculosis of lungs; abt 2 or 3 yrs |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | WJ Barkley; 309 W Md Ave Crisfield Md |
| Burial Place, Date, Undertaker, and Address | Lawsonia Cemetary; 11/9/1917; Garnett O Brown; Crisfield 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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