Page (PDF) | 29 |
---|---|
Certificate Number | 9730 |
Name of Deceased | Fosque, [not named] |
Place of Death | Somerset |
Town of Death | Crisfield; 148 S 4th St |
Sex | F |
Race | colored |
Married, Widowed, or Single | x |
Date of Birth | 6/24/1921 |
Age (year, month, days) | 12 hrs |
Occupation or Employer | x |
Birthplace | Crisfield Md |
Father's Name | Ewell Fosque |
Father's Birthplace | Accomac VA |
Mother's Name | Lillie Givans |
Mother's Birthplace | Accomac Va |
Informant (Relationship and Address) | Leslie Fosque; Crisfield |
Date of Death | 6/24/1921 |
Cause of Death and Time Attended by Doctor | child dead when I arrived; premature? Death |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | CE Collins; Crisfield |
Burial Place, Date, Undertaker, and Address | Crisfield Md; 6/25/1921; Garnett Brown; Crisfield |
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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