Page (PDF) | 19 |
---|---|
Certificate Number | 13828 |
Name of Deceased | Hargis [Hayes?] |
Place of Death | Somerset |
Town of Death | Eden |
Sex | M |
Race | black |
Married, Widowed, or Single | single |
Date of Birth | 6/2/1918 |
Age (year, month, days) | 1 mos 11 ds |
Occupation or Employer | none |
Birthplace | Eden Md |
Father's Name | Henry Hargis |
Father's Birthplace | West PO Md |
Mother's Name | May Wise |
Mother's Birthplace | Oriole Md |
Informant (Relationship and Address) | ...? Hajis?; Eden MD |
Date of Death | 7/13/1918 |
Cause of Death and Time Attended by Doctor | cholera infantum |
Immediate, Secondary, or Contributory Cause and How Long | mylygrevis ??? |
Physician and Address | WO Daisey; Fruitland |
Burial Place, Date, Undertaker, and Address | Flower Hill Cemetery; 7/13/1918; Henry Hargis; Eden 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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