| Page (PDF) | 95 |
|---|---|
| Certificate Number | 34956 |
| Name of Deceased | Horsey, Robert |
| Place of Death | Somerset |
| Town of Death | Fairmount |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 1/9/1912 |
| Age (year, month, days) | 6 yrs 9 mos 8 ds |
| Occupation or Employer | none |
| Birthplace | Md |
| Father's Name | Ben Horsey |
| Father's Birthplace | Md |
| Mother's Name | Marianna Maddox |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Robert Maddox; Upper Fairmount |
| Date of Death | 10/17/1918 |
| Cause of Death and Time Attended by Doctor | probably pnemonia; no physician in attendance; 7 ds |
| Immediate, Secondary, or Contributory Cause and How Long | influenza |
| Physician and Address | GE Dickinson; Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | Upper Fairmount; 10/18/1918; Herbert Wilson; Up Fairmount |
| Length of Residence, Where Disease Contracted, Former Residence | 6 yrs 9 mos 8 ds |
| 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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