| Page (PDF) | 39 |
|---|---|
| Certificate Number | 8022 |
| Name of Deceased | Moore, John Henry Washington |
| Place of Death | Wicomico |
| Town of Death | Wetipquin |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 4/18/1921 |
| Age (year, month, days) | 15 ds |
| Occupation or Employer | none |
| Birthplace | Maryland |
| Father's Name | Noah Moore |
| Father's Birthplace | Maryland |
| Mother's Name | Maggie Thomas |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Noah Moore; Wetipquin |
| Date of Death | 5/3/1921 |
| Cause of Death and Time Attended by Doctor | accidental inhalation of gas from burning coal oil stove; 1 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | JH Oday; Jesterville |
| Burial Place, Date, Undertaker, and Address | Wetipquin Md; 5/4/1921; Mrs CG Messick & Son;Bivalve 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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