| Page (PDF) | 3 |
|---|---|
| Certificate Number | 43426 |
| Name of Deceased | Bevans, Herman |
| Place of Death | Worcester |
| Town of Death | near Welbourne |
| Sex | M |
| Race | negro |
| Married, Widowed, or Single | single |
| Date of Birth | 1899 |
| Age (year, month, days) | 19 yrs |
| Occupation or Employer | laborer |
| Birthplace | Accomack Co VA |
| Father's Name | John Bevans |
| Father's Birthplace | Virginia |
| Mother's Name | Annie Hinman |
| Mother's Birthplace | Accomac Co Va |
| Informant (Relationship and Address) | John Roberts; Welbourne Md |
| Date of Death | 11/2/1918 |
| Cause of Death and Time Attended by Doctor | Spanish influenza; 12 ds |
| Immediate, Secondary, or Contributory Cause and How Long | syphalis; 1 yr |
| Physician and Address | JW Lankford; New Church Va |
| Burial Place, Date, Undertaker, and Address | Wardtown; 11/4/1918; FA Covington; New Church Va |
| 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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