| Page (PDF) | 15 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Fields, Infant |
| Place of Death | Somerset |
| Town of Death | Dames Quarter |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | Single |
| Date of Birth | 9/21/1911 |
| Age (year, month, days) | Still born |
| Occupation or Employer | None |
| Birthplace | Somerset Co |
| Father's Name | Oscer Fields |
| Father's Birthplace | Somerset Co |
| Mother's Name | Harriet Gates |
| Mother's Birthplace | Somerset Co |
| Informant (Relationship and Address) | Oscer Fields |
| Date of Death | 9/21/1911 |
| Cause of Death and Time Attended by Doctor | Still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | W.S. Kelly (too light to read), |
| Burial Place, Date, Undertaker, and Address | Dames Quarter 9/21/1911 L W Webster undertaker, Dames Quarter 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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