| Page (PDF) | 83 |
|---|---|
| Certificate Number | 15930 |
| Name of Deceased | Shockley, Daniel R |
| Place of Death | Wicomico |
| Town of Death | near Salisbury; Snow Hill Road |
| Sex | M |
| Race | AA |
| Married, Widowed, or Single | married |
| Date of Birth | 11/15/1886 |
| Age (year, month, days) | 31 yrs 8 mos 28 ds |
| Occupation or Employer | farmer |
| Birthplace | Maryland |
| Father's Name | Stansbury Shockley |
| Father's Birthplace | Maryland |
| Mother's Name | Elizabeth Townsand |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Annie Shockley; Salisbury Md |
| Date of Death | 8/14/1918 |
| Cause of Death and Time Attended by Doctor | mitral stenosis; unknown |
| Immediate, Secondary, or Contributory Cause and How Long | pulmonary edema; 2 ds |
| Physician and Address | DB Potter; Salisbury |
| Burial Place, Date, Undertaker, and Address | Snow Hill Cemetery; 8/15/1918; 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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