| Page (PDF) | 11 |
|---|---|
| Certificate Number | 10116 |
| Name of Deceased | Foman, Dale |
| Place of Death | Worcester |
| Town of Death | Ironshire |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 7/11/1913? |
| Age (year, month, days) | 16 yrs |
| Occupation or Employer | farmer |
| Birthplace | Berlin |
| Father's Name | Chas Foman |
| Father's Birthplace | x |
| Mother's Name | Julia Lenard |
| Mother's Birthplace | Berlin Md |
| Informant (Relationship and Address) | Chas Foman |
| Date of Death | 7/15/1919 |
| Cause of Death and Time Attended by Doctor | syphals |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Chas R Law; Berlin |
| Burial Place, Date, Undertaker, and Address | Queponco; 7/16/1919; Evans Bowen; Berlin |
| 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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