Page (PDF) | 5 |
---|---|
Certificate Number | 14265 |
Name of Deceased | Bivans, still born |
Place of Death | Wicomico |
Town of Death | near Salisbury |
Sex | F |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 9/27/1921 |
Age (year, month, days) | – |
Occupation or Employer | x |
Birthplace | Maryland |
Father's Name | Earl Gordy |
Father's Birthplace | Maryland |
Mother's Name | Agnes Bivans |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Annie L Shockley; RD4 Salisbury Md |
Date of Death | 9/27/1921 |
Cause of Death and Time Attended by Doctor | had no doctor. Born dead |
Immediate, Secondary, or Contributory Cause and How Long | do not know |
Physician and Address | CR Truitt; Salisbury Md |
Burial Place, Date, Undertaker, and Address | Glass Hill Cem; 9/28/1921; acting: Eal Gordy; 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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