Record #5396 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	35
Certificate Number	0799
Name of Deceased	Shockley,m infant
Place of Death	Somerset
Town of Death	near Pr Anne
Sex	M
Race	col
Married, Widowed, or Single	infant
Date of Birth	1/8/1921
Age (year, month, days)	14 ds
Occupation or Employer	infant
Birthplace	Md
Father's Name	Sylvester Stokley
Father's Birthplace	Md
Mother's Name	Bertha Jones
Mother's Birthplace	Md
Informant (Relationship and Address)	Sylvester Stokley; Pr Anne Rte 3
Date of Death	1/22/1921
Cause of Death and Time Attended by Doctor	nephritis (mother had eclampsia)
Immediate, Secondary, or Contributory Cause and How Long	–
Physician and Address	HA Barnes; Pr Anne Md
Burial Place, Date, Undertaker, and Address	Mt Vernon Md; 1/24/1921; Edward Jones; Pr Anne Rte 2
Length of Residence, Where Disease Contracted, Former Residence	–
Other Notes	–

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[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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Page (PDF) 49

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