| Page (PDF) | 43 |
|---|---|
| Certificate Number | 3005 |
| Name of Deceased | Polk, Henry |
| Place of Death | Somerset |
| Town of Death | near Pr Anne |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | married |
| Date of Birth | unknown |
| Age (year, month, days) | abt 56 yrs |
| Occupation or Employer | farmer |
| Birthplace | Md |
| Father's Name | Henry Polk |
| Father's Birthplace | Md |
| Mother's Name | Hester Polk |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Edward Polk; Princess Anne |
| Date of Death | 2/27/1919 |
| Cause of Death and Time Attended by Doctor | chronic nephritis; no dr in attendance at time of death |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | TJ Smith; Pr Anne |
| Burial Place, Date, Undertaker, and Address | Union; 3/1/1919; Jas I Dennis; Pr Anne |
| 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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