Page (PDF) | 47 |
---|---|
Certificate Number | 6336 |
Name of Deceased | Ellis, John T |
Place of Death | Wicomico |
Town of Death | Salisbury; 302 Catherine St |
Sex | M |
Race | black |
Married, Widowed, or Single | single |
Date of Birth | 2/9/1921 |
Age (year, month, days) | 2 mos 11 ds |
Occupation or Employer | x |
Birthplace | Md |
Father's Name | George Gunby |
Father's Birthplace | Md |
Mother's Name | Rohna Ellis |
Mother's Birthplace | Md |
Informant (Relationship and Address) | Mary Robertson; 302 Catherine St Salisbury Md |
Date of Death | 4/20/1921 |
Cause of Death and Time Attended by Doctor | whooping cough; 21 ds |
Immediate, Secondary, or Contributory Cause and How Long | probably broncho pneumonia |
Physician and Address | DW Potts; Salisbury Md |
Burial Place, Date, Undertaker, and Address | William Ellis farm; 4/21/1921; Holloway & Co; Salisbury 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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