Page (PDF) | 21 |
---|---|
Certificate Number | 43435 |
Name of Deceased | [Dale], unnamed |
Place of Death | Worcester |
Town of Death | Snow Hill RFD |
Sex | M |
Race | blk |
Married, Widowed, or Single | single |
Date of Birth | 10/31/1918 |
Age (year, month, days) | 1 ds |
Occupation or Employer | x |
Birthplace | Worcester |
Father's Name | Steart Dale |
Father's Birthplace | Worcester |
Mother's Name | Dellie Timmons |
Mother's Birthplace | Worcester |
Informant (Relationship and Address) | Wm Dale; Snow Hill RFD |
Date of Death | 11/1/1918 |
Cause of Death and Time Attended by Doctor | premature birth. Mother had influenza which caused the above |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Paul Jones; Snow Hill |
Burial Place, Date, Undertaker, and Address | Taylors Gate; 11/1/1918; WT Hearn; Snow Hill |
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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