| Page (PDF) | 33 |
|---|---|
| Certificate Number | 4878 |
| Name of Deceased | Henry, John |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 3/4/1875 |
| Age (year, month, days) | 44 yrs 0 mos 6 ds |
| Occupation or Employer | repair work in hardware store |
| Birthplace | Md |
| Father's Name | Levin Henry |
| Father's Birthplace | Md |
| Mother's Name | Alverta Waters |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Charles Waters Pocomoke City, Md |
| Date of Death | 3/10/1919 |
| Cause of Death and Time Attended by Doctor | epilepsy; 3 yrs |
| Immediate, Secondary, or Contributory Cause and How Long | paralysis; 6 ds |
| Physician and Address | WE Sartorius; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Halls Hill #1 Pocomoke; 3/12/1919; S?tevenson & Bros; Pocomoke 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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