Page (PDF) | 109 |
---|---|
Certificate Number | 35532 |
Name of Deceased | Elzey; Shelton Roosevelt |
Place of Death | Wicomico |
Town of Death | Salisbury; Camden Dist |
Sex | M |
Race | AA |
Married, Widowed, or Single | single |
Date of Birth | 7/24/1917 |
Age (year, month, days) | 1 yrs 2 mos 23 ds |
Occupation or Employer | x |
Birthplace | Maryland |
Father's Name | Ware Elzey |
Father's Birthplace | Maryland |
Mother's Name | Edith Mae Price |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Mrs Ware Elzey; South Salisbury Md |
Date of Death | 10/17/1918 |
Cause of Death and Time Attended by Doctor | influneza |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | NP Turner; local registrar Salisbury |
Burial Place, Date, Undertaker, and Address | Salisbury Cemetery; 10/19/1918; Jas T Stewart; 402 E Church St Salisbury |
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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