Page (PDF) | 35 |
---|---|
Certificate Number | – |
Name of Deceased | Mills, Sam'l |
Place of Death | Somerset |
Town of Death | Near Pr Anne |
Sex | M |
Race | Black |
Married, Widowed, or Single | Single |
Date of Birth | 9/9/1911 |
Age (year, month, days) | 21 days |
Occupation or Employer | - |
Birthplace | Somerset Co |
Father's Name | Wm Mills |
Father's Birthplace | Someret Co |
Mother's Name | Mary Whitney |
Mother's Birthplace | Somerset Co |
Informant (Relationship and Address) | Gertrude Whitney, Princess Anne |
Date of Death | 9/29/1911 |
Cause of Death and Time Attended by Doctor | No Physician in attendance - Cholur Sifaulin, 3 days |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | T J Smith, M.D., Pr Anne |
Burial Place, Date, Undertaker, and Address | Princess Anne 9/20/1911 James I Dennis undertaker, Pr Anne |
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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