| Page (PDF) | 19 |
|---|---|
| Certificate Number | 14147 |
| Name of Deceased | Green, infant |
| Place of Death | Somerset |
| Town of Death | Mt Vernon |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | infant |
| Date of Birth | 9/19/1921 |
| Age (year, month, days) | – |
| Occupation or Employer | none |
| Birthplace | Md |
| Father's Name | Alonza Green |
| Father's Birthplace | Md |
| Mother's Name | Sadie Waters |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Alonza Waters; Pr Anne Rte 3 Md |
| Date of Death | 9/19/1921 |
| Cause of Death and Time Attended by Doctor | do not know but no doubt it was from prolonged labor |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | HA Barnes; Pr Anne |
| Burial Place, Date, Undertaker, and Address | Mt Vernon Md; 9/20/1921; father; Pr Anne Rte 2 |
| 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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