| Page (PDF) | 17 |
|---|---|
| Certificate Number | 17742 |
| Name of Deceased | Holden, Clarence |
| Place of Death | Worcester |
| Town of Death | nr Pocomoke |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | Single |
| Date of Birth | x |
| Age (year, month, days) | abt 1 yrs 8 mos |
| Occupation or Employer | x |
| Birthplace | VA |
| Father's Name | Archie Holden |
| Father's Birthplace | Va |
| Mother's Name | ? Holden |
| Mother's Birthplace | Va |
| Informant (Relationship and Address) | Archie Holden; Pocomoke |
| Date of Death | 11/21/1921 |
| Cause of Death and Time Attended by Doctor | diarrhea |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | NE Sartorius; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Tindley Chapel; Pocomoke; 11/21/1921; CH Ballard & Bros; Pocomoke |
| 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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