| Page (PDF) | 9 |
|---|---|
| Certificate Number | 1662 |
| Name of Deceased | Barclay, Lewis Jackson |
| Place of Death | Wicomico |
| Town of Death | Salisbury; Pollitt St |
| Sex | M |
| Race | AA |
| Married, Widowed, or Single | single |
| Date of Birth | 2 yr 9 mos 22 ds |
| Age (year, month, days) | x |
| Occupation or Employer | Maryland |
| Birthplace | Maryland |
| Father's Name | Charles J Barclay |
| Father's Birthplace | Delaware |
| Mother's Name | Fannie M Barclay |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | John Barclay; Parsonsburg RFD |
| Date of Death | 1/4/1919 |
| Cause of Death and Time Attended by Doctor | bronchial pneumonia; 5 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | JW Roberts; x |
| Burial Place, Date, Undertaker, and Address | Flower Hill Cemetery; 1/5/1919; Jas F Stewart; Salisbury 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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