| Page (PDF) | 7 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Dix, unnamed |
| Place of Death | Worceser |
| Town of Death | Pocomoke |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | infant |
| Date of Birth | 4/9/1911 |
| Age (year, month, days) | still born |
| Occupation or Employer | Infant |
| Birthplace | Pocomoke City |
| Father's Name | Geo Dix |
| Father's Birthplace | Worcester |
| Mother's Name | Mary Aydelotte |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | Geo Dix; Pocomoke |
| Date of Death | 4/9/1911 |
| Cause of Death and Time Attended by Doctor | stillborn |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | SS Quinn; Pocomoke |
| Burial Place, Date, Undertaker, and Address | x |
| 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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