Page (PDF) | 35 |
---|---|
Certificate Number | 19548 |
Name of Deceased | Land?, Shelby |
Place of Death | Worcester |
Town of Death | Berlin |
Sex | M |
Race | col |
Married, Widowed, or Single | x |
Date of Birth | 12/30/1919 |
Age (year, month, days) | 10 mos 27 ds |
Occupation or Employer | x |
Birthplace | Worcester |
Father's Name | Geo Land |
Father's Birthplace | Virginia |
Mother's Name | Bettie Johnson |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Bettie Land; Barbank? |
Date of Death | 11/29/1920 |
Cause of Death and Time Attended by Doctor | colitis; 9 ds |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Ira C Tyndall; Berlin |
Burial Place, Date, Undertaker, and Address | St Pauls Cemetary; 11/30/1920; JW Burbage & Son; Berlin 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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