| Page (PDF) | 33 |
|---|---|
| Certificate Number | 20865 |
| Name of Deceased | Jarvis, Valda |
| Place of Death | Wicomico |
| Town of Death | Salisbury; Ward St |
| Sex | F |
| Race | Afro American |
| Married, Widowed, or Single | single |
| Date of Birth | 10/17/1919 |
| Age (year, month, days) | 2 mos 3 ds |
| Occupation or Employer | none |
| Birthplace | Md |
| Father's Name | George Jarvis |
| Father's Birthplace | Penn. |
| Mother's Name | Julia Baley |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | George Jarvis Ward St; Salisbury Md |
| Date of Death | 12/20/1919 |
| Cause of Death and Time Attended by Doctor | bronchitis |
| Immediate, Secondary, or Contributory Cause and How Long | hereditary syphilis; 63 ds |
| Physician and Address | Jno Roberts; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | Potters Field Salisbury; 12/21/1919; 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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