| Page (PDF) | 3 |
|---|---|
| Certificate Number | 4662 |
| Name of Deceased | Clayton, Georgiana |
| Place of Death | Somerset |
| Town of Death | Lawsonia Md |
| Sex | F |
| Race | negro |
| Married, Widowed, or Single | single |
| Date of Birth | 9/15/1908 |
| Age (year, month, days) | 10 yrs 6 mos |
| Occupation or Employer | school work |
| Birthplace | Parksley Va |
| Father's Name | Georgie Clayton |
| Father's Birthplace | Parksley Va |
| Mother's Name | Mary Savage |
| Mother's Birthplace | Parksley, Va |
| Informant (Relationship and Address) | Mrs Mary Clayton; Lawsonia Md |
| Date of Death | 3/15/1919 |
| Cause of Death and Time Attended by Doctor | influenza; 1 mos 27 ds |
| Immediate, Secondary, or Contributory Cause and How Long | meningitis; 24 ds |
| Physician and Address | WJ Barkley; 309 W Md Ave |
| Burial Place, Date, Undertaker, and Address | home lot; 3/18/1919; IS Lawson; Crisfield |
| Length of Residence, Where Disease Contracted, Former Residence | residence 10 yrs 3 mos in state; Parksley & Lawsonia |
| 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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