| Page (PDF) | 47 |
|---|---|
| Certificate Number | 1180 |
| Name of Deceased | Smith, John |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | boy |
| Race | colored |
| Married, Widowed, or Single | married |
| Date of Birth | 1/13/1918 |
| Age (year, month, days) | 40 minut |
| Occupation or Employer | railroading? |
| Birthplace | Princess Anne |
| Father's Name | Sidney Smith |
| Father's Birthplace | Maryland |
| Mother's Name | Angeline Smith |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Lizzie Taylor; Princess Anne |
| Date of Death | 1/13/1918 |
| Cause of Death and Time Attended by Doctor | no dr in attendance, child lived only a few hours |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GJ Smith; Pr Anne Md |
| Burial Place, Date, Undertaker, and Address | Pr Anne; 1/14/1918; Wm Jones; Pr Anne 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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