| Page (PDF) | 167 |
|---|---|
| Certificate Number | 34989 |
| Name of Deceased | Smith, Grover Jones |
| Place of Death | Somerset |
| Town of Death | near Rehoboth |
| Sex | M |
| Race | C |
| Married, Widowed, or Single | single |
| Date of Birth | 3/12/1917 |
| Age (year, month, days) | 1 yrs 7 mos 3 ds |
| Occupation or Employer | at home |
| Birthplace | Somerset |
| Father's Name | Preston Thomas Smith |
| Father's Birthplace | Md |
| Mother's Name | Alice Tilghman |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Preston Thomas Smith; Pocomoke Md |
| Date of Death | 10/15/1918 |
| Cause of Death and Time Attended by Doctor | broncho pneumonia; 8 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | NE Sartorius; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Christ ME Church; 10/15/1918; Balard & Bro; Pocomoke |
| 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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