| Page (PDF) | 49 |
|---|---|
| Certificate Number | 19394 |
| Name of Deceased | Smith, Burn |
| Place of Death | Worcester |
| Town of Death | Cedartown nr S.H. |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 11/23/1921 |
| Age (year, month, days) | 1 yrs 1 mos 6 ds |
| Occupation or Employer | x |
| Birthplace | Cedartown Md |
| Father's Name | Wm Smith |
| Father's Birthplace | Newark Md |
| Mother's Name | Laura Tingle |
| Mother's Birthplace | Newark Md |
| Informant (Relationship and Address) | Laura Tingle; Cedartown Md |
| Date of Death | 12/29/1921 |
| Cause of Death and Time Attended by Doctor | probalby cardiac syncope |
| Immediate, Secondary, or Contributory Cause and How Long | sub acute bronchitis |
| Physician and Address | Marvel S Lingo; Newark Md |
| Burial Place, Date, Undertaker, and Address | Mt Wesley Cemetary; 12/30/1921; Chas A Purnell; Snow Hill |
| 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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