| Page (PDF) | 61 |
|---|---|
| Certificate Number | 6343 |
| Name of Deceased | Jones, still born |
| Place of Death | Wicomico |
| Town of Death | Fruitland |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 4/20/1921 |
| Age (year, month, days) | – |
| Occupation or Employer | none |
| Birthplace | Fruitland Md |
| Father's Name | Clayton Dashiell |
| Father's Birthplace | Fruitland |
| Mother's Name | Maude Jones |
| Mother's Birthplace | Dames Quarter Md |
| Informant (Relationship and Address) | Lucinda Anderson; Fruitland Md |
| Date of Death | 4/20/1921 |
| Cause of Death and Time Attended by Doctor | still birth |
| Immediate, Secondary, or Contributory Cause and How Long | mother fell down stairs |
| Physician and Address | WO Daisey; Fruitland Md |
| Burial Place, Date, Undertaker, and Address | AME Church yard Fruitland; 4/20/1921; acting-Luckr Bivens; Fruitland 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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