| Page (PDF) | 31 |
|---|---|
| Certificate Number | 1084 |
| Name of Deceased | Jackson, infant |
| Place of Death | Worcester |
| Town of Death | near Girdletree |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | x |
| Date of Birth | 1/17/1920 |
| Age (year, month, days) | x |
| Occupation or Employer | x |
| Birthplace | near Girdletree Md |
| Father's Name | John Jhackson |
| Father's Birthplace | Md |
| Mother's Name | Delia Wise |
| Mother's Birthplace | VA |
| Informant (Relationship and Address) | Nancy E Parker; Girdletree Md RFD |
| Date of Death | 1/17/1920 |
| Cause of Death and Time Attended by Doctor | still born; no physician |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | LeRoy Smith; Snow Hill Md |
| Burial Place, Date, Undertaker, and Address | Cool Spring; 1/18/1920; John Jackson Sr; Girdletree 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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