| Page (PDF) | 5 |
|---|---|
| Certificate Number | 14298 |
| Name of Deceased | Blake, Elsie |
| Place of Death | Worcester |
| Town of Death | near Snow Hill |
| Sex | F |
| Race | negro |
| Married, Widowed, or Single | single |
| Date of Birth | 1/20/1921 |
| Age (year, month, days) | 7 mos 11 ds |
| Occupation or Employer | none |
| Birthplace | Snow Hill Md |
| Father's Name | George Blakes |
| Father's Birthplace | Snow Hil Md |
| Mother's Name | Mary Ayers |
| Mother's Birthplace | Snow Hill Md |
| Informant (Relationship and Address) | George Blake; Snow Hill Md |
| Date of Death | 9/1/1921 |
| Cause of Death and Time Attended by Doctor | unknown to me; 4 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | John L riley; Snow Hill Md |
| Burial Place, Date, Undertaker, and Address | Mt Wesley; 9/2/1921; Wm Williams; Snow Hill, 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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