| Page (PDF) | 21 |
|---|---|
| Certificate Number | 24157 |
| Name of Deceased | Massey, James |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | x |
| Date of Birth | 9/12/1918 |
| Age (year, month, days) | x |
| Occupation or Employer | x |
| Birthplace | Berlin |
| Father's Name | Walter Johnson |
| Father's Birthplace | Balto Md |
| Mother's Name | Lizzie Massey |
| Mother's Birthplace | Berlin |
| Informant (Relationship and Address) | Rachel Massey; Berlin Md |
| Date of Death | 9/12/1918 |
| Cause of Death and Time Attended by Doctor | born dead |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | ?; registrar; Berlin Md |
| Burial Place, Date, Undertaker, and Address | St Paul ME church Cemetery; 9/13/1918; Stewart and Bowen; Berlin, 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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