| Page (PDF) | 11 |
|---|---|
| Certificate Number | 1074 |
| Name of Deceased | Dale, Thos |
| Place of Death | Worcester |
| Town of Death | near Snow Hill |
| Sex | M |
| Race | blk |
| Married, Widowed, or Single | x |
| Date of Birth | 11/4/1919 |
| Age (year, month, days) | 2 mos 5 ds |
| Occupation or Employer | x |
| Birthplace | Worcester |
| Father's Name | don't know; lives in Wilmington |
| Father's Birthplace | don't know |
| Mother's Name | Susie Dale |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | Mary Price; Snow Hill RFD |
| Date of Death | 1/9/1919 [1920] |
| Cause of Death and Time Attended by Doctor | no physician- diarrheoea since birth |
| Immediate, Secondary, or Contributory Cause and How Long | exhaustion |
| Physician and Address | Paul Jones; Snow Hill, Md |
| Burial Place, Date, Undertaker, and Address | Taylor Gate Cemetery; 1/11/1920; William S Williams; Snow Hill 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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