| Page (PDF) | 67 |
|---|---|
| Certificate Number | 2751 |
| Name of Deceased | Willis, John |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 7/31/1920 |
| Age (year, month, days) | 6 mos |
| Occupation or Employer | infant |
| Birthplace | Crisfield Md |
| Father's Name | Charles Dixon, Sr |
| Father's Birthplace | Md |
| Mother's Name | Addie Seaman |
| Mother's Birthplace | VA |
| Informant (Relationship and Address) | Addie Seaman; Crisfield Md |
| Date of Death | 2/2/1921 |
| Cause of Death and Time Attended by Doctor | broncho pneumonia |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Wm H coulbourne; Crisfield Md |
| Burial Place, Date, Undertaker, and Address | Hopewell Md; 2/3/1921; A Briscoe; Hopewell |
| 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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