| Page (PDF) | 55 |
|---|---|
| Certificate Number | 17722 |
| Name of Deceased | Peters, Samuel, infant no name |
| Place of Death | Wicomico |
| Town of Death | Salisbury; 325 Water St |
| Sex | M |
| Race | Afro American |
| Married, Widowed, or Single | Single |
| Date of Birth | 11/13/1921 |
| Age (year, month, days) | 3 ds |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | Samuel Peters |
| Father's Birthplace | Md |
| Mother's Name | Emma White |
| Mother's Birthplace | Tila?? |
| Informant (Relationship and Address) | Emma Peters; 306 Water St Salisbury Md |
| Date of Death | 11/16/1921 |
| Cause of Death and Time Attended by Doctor | mechanical infury to spine caused by delivery |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Arthur D Browne; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | Hustons Cemetery; 11/17/1921; Holloway & co; 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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