| Page (PDF) | 81 |
|---|---|
| Certificate Number | 6353 |
| Name of Deceased | Paine, Jsiah D |
| Place of Death | Wicomico |
| Town of Death | Salisbury; Church St |
| Sex | M |
| Race | AA |
| Married, Widowed, or Single | married |
| Date of Birth | 3/29/1864 |
| Age (year, month, days) | 57 yrs 0 mos 2 ds |
| Occupation or Employer | minister |
| Birthplace | Camden New Jersey |
| Father's Name | Jsiah D Paine |
| Father's Birthplace | Camden New Jersey |
| Mother's Name | Henrietta Sandon? |
| Mother's Birthplace | Camden New Jersey |
| Informant (Relationship and Address) | WH Johns; Chester Town |
| Date of Death | 4/1/1921 |
| Cause of Death and Time Attended by Doctor | cerebral hemorrhage; 1 hrs |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Arthur D Brown; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | Mount Peace;? 4/5/1921; JF Stewart; Salisbury |
| 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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