Page (PDF) | 3 |
---|---|
Certificate Number | 1017 |
Name of Deceased | Baine, Roley |
Place of Death | Wicomico |
Town of Death | Salisbury; P G Hospital |
Sex | M |
Race | black |
Married, Widowed, or Single | single |
Date of Birth | x |
Age (year, month, days) | abt 5 yrs |
Occupation or Employer | none |
Birthplace | Maryland |
Father's Name | John Baine |
Father's Birthplace | Maryland |
Mother's Name | not known |
Mother's Birthplace | not known |
Informant (Relationship and Address) | Superintendant PGH Hospital; Salisbury md |
Date of Death | 1/18/1920 |
Cause of Death and Time Attended by Doctor | pistol shot wound right lobe of liver; accidental shooting |
Immediate, Secondary, or Contributory Cause and How Long | hemorrhage; 1 ds |
Physician and Address | JW McF Dick; Salisbury |
Burial Place, Date, Undertaker, and Address | shipped to Girdletree Md; 1/?/1920 |
Length of Residence, Where Disease Contracted, Former Residence | 4 hrs; lifetime in state; former residence Worcester |
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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