| Page (PDF) | 79 |
|---|---|
| Certificate Number | 43461 |
| Name of Deceased | Shockly, Cleona May |
| Place of Death | Worcester |
| Town of Death | near Snow Hill |
| Sex | F |
| Race | blk |
| Married, Widowed, or Single | single |
| Date of Birth | 3/7/1917 |
| Age (year, month, days) | 1 yrs 9 mos 26 ds |
| Occupation or Employer | x |
| Birthplace | Worcester |
| Father's Name | Homer Shockly |
| Father's Birthplace | Worcester |
| Mother's Name | Hattie Corbin |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | Homer Shockly; Snow Hill Md RFD |
| Date of Death | 11/2/1918 |
| Cause of Death and Time Attended by Doctor | influenza followed by pneumonia; 12 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Paul Jones; Snow Hill |
| Burial Place, Date, Undertaker, and Address | Taylors Gate Cemetery; 11/4/1918; WS Williams; Snow Hill Md |
| 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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