Page (PDF) | 17 |
---|---|
Certificate Number | 11950 |
Name of Deceased | Everett, still born infant |
Place of Death | Wicomico |
Town of Death | Salisbury; 209 Delaware St |
Sex | F |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 6/17/1918 |
Age (year, month, days) | still born |
Occupation or Employer | x |
Birthplace | Salisbury Md |
Father's Name | Alonzo Everrett |
Father's Birthplace | Maryland |
Mother's Name | Frances Deshields |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Frances Everrett; Salisbury Md |
Date of Death | 6/17/1918 |
Cause of Death and Time Attended by Doctor | still born 6/17/18 at 3 pm |
Immediate, Secondary, or Contributory Cause and How Long | mother hurt herself lifting a board |
Physician and Address | Jno Roberts; Salisbury Md |
Burial Place, Date, Undertaker, and Address | Salisbury Cemetery; 6/18/1918; JF Stewart; Salisbury, 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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