Page (PDF) | 5 |
---|---|
Certificate Number | 15911 |
Name of Deceased | Briscoe, Jerome |
Place of Death | Somerset |
Town of Death | Crisfield |
Sex | M |
Race | black |
Married, Widowed, or Single | single |
Date of Birth | 6/23/1905 |
Age (year, month, days) | 15 yrs 3 mos 24 ds |
Occupation or Employer | none |
Birthplace | Md |
Father's Name | Alexander Brisco |
Father's Birthplace | Md |
Mother's Name | Lilly Manuel |
Mother's Birthplace | Md |
Informant (Relationship and Address) | Alex Brisco; Crisfield |
Date of Death | 10/16/1921 |
Cause of Death and Time Attended by Doctor | tuberculosis of the intestinal tract; 9 mos |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | S Alexander Ross; Crisfield Md |
Burial Place, Date, Undertaker, and Address | Wesley Cemetery; 10/17/1921; Isaac Fields; Crisfield |
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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