| Page (PDF) | 55 |
|---|---|
| Certificate Number | 18756 |
| Name of Deceased | Perry, infant |
| Place of Death | Wicomico |
| Town of Death | Tyaskin |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 11/17/1919 |
| Age (year, month, days) | 6 hrs |
| Occupation or Employer | none |
| Birthplace | Md |
| Father's Name | Gilbert Oliver |
| Father's Birthplace | Md |
| Mother's Name | Evelyn Perry |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Benjamin Perry; Tyaskin Md |
| Date of Death | 11/17/1919 |
| Cause of Death and Time Attended by Doctor | no physician in attendance cause unknown |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | R Woolford Walter; Nanticoke Md |
| Burial Place, Date, Undertaker, and Address | Wetipquin Md; 11/18/1919; Mrs CG Messick & Sons; Bivalve 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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