Page (PDF) | 3 |
---|---|
Certificate Number | 9240 |
Name of Deceased | Ayers, Roland |
Place of Death | Wicomico |
Town of Death | Salisbury; PG Hospital |
Sex | M |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 10/15/1908 |
Age (year, month, days) | 11 yrs 6 mos 25 ds |
Occupation or Employer | school boy |
Birthplace | Accomac co, Va |
Father's Name | Jay Ayers |
Father's Birthplace | Accomac Co Va |
Mother's Name | Maggie Jacobs |
Mother's Birthplace | Accomack VA |
Informant (Relationship and Address) | Jay Ayers; Onley V |
Date of Death | 5/10/1920 |
Cause of Death and Time Attended by Doctor | acute perforation appendicitis |
Immediate, Secondary, or Contributory Cause and How Long | general peritonitis |
Physician and Address | JMcFDick; Salisbury Md |
Burial Place, Date, Undertaker, and Address | Pongatague Cemetery; 5/11/1920; JF Stewart; Salisbury, MD |
Length of Residence, Where Disease Contracted, Former Residence | 1 ds ; residence Accomac Co VA |
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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