| Page (PDF) | 11 |
|---|---|
| Certificate Number | 19184 |
| Name of Deceased | Dashiell Jr, Leroy |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | M |
| Race | colroed |
| Married, Widowed, or Single | single |
| Date of Birth | 7/10/1921 |
| Age (year, month, days) | 5 mos 4 ds |
| Occupation or Employer | none |
| Birthplace | Maryland |
| Father's Name | Leroy Dashiell |
| Father's Birthplace | Maryland |
| Mother's Name | Lena Walton |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Leroy Dashiell; Princess Anne Md |
| Date of Death | 12/14/1922 |
| Cause of Death and Time Attended by Doctor | broncho pneumonia; 3 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Henry M Lankford; Princess Anne Md |
| Burial Place, Date, Undertaker, and Address | Pr Anne Md; 12/15/1921; Will James; Pr Anne 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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