| Page (PDF) | 49 |
|---|---|
| Certificate Number | 16068 |
| Name of Deceased | Nichols, infant |
| Place of Death | Wicomico |
| Town of Death | Tyaskin |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | x |
| Date of Birth | 10/17/1921 |
| Age (year, month, days) | 4 ds |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | Earmand Nichols |
| Father's Birthplace | Md |
| Mother's Name | Lettie Gattis |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Earmond Nichols; Tyaskin Md |
| Date of Death | 10/21/1921 |
| Cause of Death and Time Attended by Doctor | umbilical infection: 4 days . |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | JR Wanner; Nanticoke Md |
| Burial Place, Date, Undertaker, and Address | TyaskinCem; 10/23/1921; Mrs CG Messick & Sons; Bivalve 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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