Page (PDF) | 25 |
---|---|
Certificate Number | 7047 |
Name of Deceased | Maddox, Mary Maylane? Lane |
Place of Death | Somerset |
Town of Death | Oriole |
Sex | F |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 6/24/1918 |
Age (year, month, days) | 10 mos 13 ds |
Occupation or Employer | x |
Birthplace | Md |
Father's Name | Sylvester Maddox |
Father's Birthplace | Md |
Mother's Name | Ethel Lane |
Mother's Birthplace | Md |
Informant (Relationship and Address) | Sylvester Maddox; Oriole Md |
Date of Death | 5/7/1919 |
Cause of Death and Time Attended by Doctor | broncho pneumonia; 10 ds |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Harlan Rcuff; Princess Anne |
Burial Place, Date, Undertaker, and Address | Oriole; 5/8/1919; James I Dennis; Princess Anne |
Length of Residence, Where Disease Contracted, Former Residence | 10 mos 13 ds |
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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