Record #5880 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	31
Certificate Number	19194
Name of Deceased	Jones, [unnamed]
Place of Death	Somerset
Town of Death	near P Anne
Sex	unknown
Race	black
Married, Widowed, or Single	x
Date of Birth	12/20/1921
Age (year, month, days)	4 mos foetus
Occupation or Employer	x
Birthplace	Md
Father's Name	Henry Jones
Father's Birthplace	Md
Mother's Name	Sadie Wilson
Mother's Birthplace	Md
Informant (Relationship and Address)	Henry Jones; Pr Anne Md
Date of Death	12/20/1921
Cause of Death and Time Attended by Doctor	unknown
Immediate, Secondary, or Contributory Cause and How Long	–
Physician and Address	Tj Smith; Pr Anne Md
Burial Place, Date, Undertaker, and Address	on place; 12/20/1921; father; Pr Anne Md
Length of Residence, Where Disease Contracted, Former Residence	–
Other Notes	–

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[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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