Record #4841 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922
| Page (PDF) | 35 |
|---|---|
| Certificate Number | 20753 |
| Name of Deceased | Rick, Pauline |
| Place of Death | Somerset |
| Town of Death | Venton |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | child |
| Date of Birth | 2/4/1919 |
| Age (year, month, days) | 9 mos 9 ds |
| Occupation or Employer | x |
| Birthplace | Venton, Md |
| Father's Name | unknown |
| Father's Birthplace | don't know |
| Mother's Name | Goldie V Rock |
| Mother's Birthplace | Quantico Md |
| Informant (Relationship and Address) | Goldie Rock; Venton Md |
| Date of Death | 12/2/1919 |
| Cause of Death and Time Attended by Doctor | syncope |
| Immediate, Secondary, or Contributory Cause and How Long | gastritis also irritation from a very severe umbilical hernia |
| Physician and Address | John T Ruby; Oriole Md |
| Burial Place, Date, Undertaker, and Address | Venton Md; 12/3/1919; JI Dennis; Princess Anne 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.