| Page (PDF) | 1 |
|---|---|
| Certificate Number | 2984 |
| Name of Deceased | Bivens, John D |
| Place of Death | Somerset |
| Town of Death | Chance |
| Sex | M |
| Race | C |
| Married, Widowed, or Single | single |
| Date of Birth | 2/3/1900 |
| Age (year, month, days) | 19 yrs |
| Occupation or Employer | oysterman |
| Birthplace | Md |
| Father's Name | John Bivens |
| Father's Birthplace | Md |
| Mother's Name | Edith Hull |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | John Bivens; Chance |
| Date of Death | 2/15/1919 |
| Cause of Death and Time Attended by Doctor | broncho pneumonia following influenza |
| Immediate, Secondary, or Contributory Cause and How Long | exhaustion |
| Physician and Address | EP Simpson; Chance |
| Burial Place, Date, Undertaker, and Address | Chance; 2/17/1919; Fred T Webster; Deals Island |
| 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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