| Page (PDF) | 25 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Gillett, Samuel |
| Place of Death | Worcester |
| Town of Death | Pocomoke City |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | Married |
| Date of Birth | - |
| Age (year, month, days) | 48 yrs |
| Occupation or Employer | Cook - N.Y.P. & N. R.R. Co |
| Birthplace | Maryland |
| Father's Name | James M. Gillett |
| Father's Birthplace | Maryland |
| Mother's Name | Elizabeth Jackson |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Henry T Wheatley, Pocomoke City, Md |
| Date of Death | 7/9/1911 |
| Cause of Death and Time Attended by Doctor | Valvular heart lesion, 2 yrs |
| Immediate, Secondary, or Contributory Cause and How Long | Loss of Curpensation - Dropsy, 3 mos |
| Physician and Address | R. Lee Hall, M.D., Pocomoke City, Md |
| Burial Place, Date, Undertaker, and Address | Halls Hill 7/10/1911 Chas Ballard undertaker, Pocomoke |
| 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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