| Page (PDF) | 17 |
|---|---|
| Certificate Number | 9119 |
| Name of Deceased | Gale, Jack |
| Place of Death | Somerset |
| Town of Death | Marumso PO |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | married |
| Date of Birth | x |
| Age (year, month, days) | abt 46 yrs |
| Occupation or Employer | laborer |
| Birthplace | Md |
| Father's Name | Jack? Illegible |
| Father's Birthplace | Md |
| Mother's Name | Lizzie Gale |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Sherman Gale; Marumsco PO, Md |
| Date of Death | 5/16/1920 |
| Cause of Death and Time Attended by Doctor | acute dil. of heart |
| Immediate, Secondary, or Contributory Cause and How Long | chronic myocarditis; chronic int nephritis; 1 yrs |
| Physician and Address | Geo C Coulbourn; Marion |
| Burial Place, Date, Undertaker, and Address | Elenezre ME Church; 5/18/1920; AW Dixon; Marion, 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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