| Page (PDF) | 9 |
|---|---|
| Certificate Number | 3651 |
| Name of Deceased | Blake, John W |
| Place of Death | Worcester |
| Town of Death | Snow Hill Md |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | married |
| Date of Birth | 1891 |
| Age (year, month, days) | 29 ys |
| Occupation or Employer | laborer |
| Birthplace | Worcester |
| Father's Name | John Shockley |
| Father's Birthplace | Worcester |
| Mother's Name | Adie Blake |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | Charlie Blake; Snow Hill |
| Date of Death | 2/14/1920 |
| Cause of Death and Time Attended by Doctor | no physician. Heart disease. Found dead; several yrs |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Paul Jones; Snow Hill |
| Burial Place, Date, Undertaker, and Address | Taylors Gate Cemetery; 2/20/1920; William S Williams; Snow Hill |
| 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.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.