| Page (PDF) | 55 |
|---|---|
| Certificate Number | 21182 |
| Name of Deceased | [Wise], infant |
| Place of Death | Somerset |
| Town of Death | Champ |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 12/29/1920 |
| Age (year, month, days) | x |
| Occupation or Employer | none |
| Birthplace | Champ Md |
| Father's Name | James Elwood Wise |
| Father's Birthplace | Champ Md |
| Mother's Name | Nellie Ola Johnson |
| Mother's Birthplace | Oriole Md |
| Informant (Relationship and Address) | James Elwood Wise; Champ Md |
| Date of Death | 12/29/1920 |
| Cause of Death and Time Attended by Doctor | still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | John T Ruby; Oriole Md |
| Burial Place, Date, Undertaker, and Address | Oriole Md; x; J Elwood Wise - father; Champ 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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