| Page (PDF) | 53 |
|---|---|
| Certificate Number | 7168 |
| Name of Deceased | Polks, infant of Frannie Polks |
| Place of Death | Wicomico |
| Town of Death | near Allen |
| Sex | M |
| Race | Afro American |
| Married, Widowed, or Single | single |
| Date of Birth | 4/29/1919 |
| Age (year, month, days) | 3 ds |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | Major Jones |
| Father's Birthplace | Md |
| Mother's Name | Frannie Polk |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | John T Polk; Eden Md RD2 |
| Date of Death | 5/2/1919 |
| Cause of Death and Time Attended by Doctor | had no medical attention. Cause of deathÂ…malformed |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | CR Truitt; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | Allen, Md; 5/3/1919; Holloway & Co; Salisbury 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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