Page (PDF) | 3 |
---|---|
Certificate Number | 61352 |
Name of Deceased | Barclay, Washington Robert |
Place of Death | Wicomico |
Town of Death | Nanticoke |
Sex | M |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 1/22/1914 |
Age (year, month, days) | 4 yrs 11 mos 1 ds |
Occupation or Employer | x |
Birthplace | Md |
Father's Name | Robert W Barclay |
Father's Birthplace | Md |
Mother's Name | Pearl J Jones |
Mother's Birthplace | Md |
Informant (Relationship and Address) | Robert Barclay; Nanticoke Md |
Date of Death | 12/23/1918 |
Cause of Death and Time Attended by Doctor | influenza; 10 ds |
Immediate, Secondary, or Contributory Cause and How Long | emphyzema |
Physician and Address | JR Wanner; Nanticoke |
Burial Place, Date, Undertaker, and Address | Nanticoke Cem; 12/25/1918; Mrs C Messick & sons; Bivalve |
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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