| Page (PDF) | 29 |
|---|---|
| Certificate Number | 9867 |
| Name of Deceased | Hayward Jr, Charles W |
| Place of Death | Wicomico |
| Town of Death | Salisbury; Peninsula Hospital |
| Sex | M |
| Race | AA |
| Married, Widowed, or Single | married |
| Date of Birth | 3/4/1883 |
| Age (year, month, days) | 38 yrs 3 mos 16 ds |
| Occupation or Employer | laborer |
| Birthplace | Maryland |
| Father's Name | Charles W Hayward |
| Father's Birthplace | Maryland |
| Mother's Name | Nancy Hayward |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Emma Hayward; x |
| Date of Death | 6/21/1921 |
| Cause of Death and Time Attended by Doctor | gun shot wound of abdomen; homicidal |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Hunter R Mann; Salisbury |
| Burial Place, Date, Undertaker, and Address | Westover Cemetery; 6/23/1921; JF Stewart; 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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