| Page (PDF) | 19 |
|---|---|
| Certificate Number | 17581 |
| Name of Deceased | [Dennis], not named |
| Place of Death | Somerset |
| Town of Death | Eden |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 10/4/1921 |
| Age (year, month, days) | 28 ds |
| Occupation or Employer | none |
| Birthplace | Eden |
| Father's Name | James Dennis |
| Father's Birthplace | Somerset |
| Mother's Name | Emma E Stanford |
| Mother's Birthplace | Wicomico |
| Informant (Relationship and Address) | Jennie Dennis; Eden Md |
| Date of Death | 11/1/1921 |
| Cause of Death and Time Attended by Doctor | premature birth |
| Immediate, Secondary, or Contributory Cause and How Long | unknown |
| Physician and Address | WO Dasy; Fruitland Md |
| Burial Place, Date, Undertaker, and Address | Allen Md; 11/2/1921; JC Brewingttin; Eden RFD2 |
| 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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