Page (PDF) | 64 |
---|---|
Certificate Number | 19401 |
Name of Deceased | [Taylor], not named |
Place of Death | Worcester |
Town of Death | near Snow Hill |
Sex | FM |
Race | colored |
Married, Widowed, or Single | Single |
Date of Birth | 12/1/1921 |
Age (year, month, days) | x |
Occupation or Employer | none |
Birthplace | Worcester |
Father's Name | Henry Allen |
Father's Birthplace | Stockton Md |
Mother's Name | Emma Taylor |
Mother's Birthplace | Worcester |
Informant (Relationship and Address) | Henry Allen; Snow Hill Md |
Date of Death | 12/1/1921 |
Cause of Death and Time Attended by Doctor | no doctor in attendance; premature birth. Weakling & deformed |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | LeRoy Smith, L Reg; Snow Hill Md |
Burial Place, Date, Undertaker, and Address | Taylors Gate; 12/1/1921; Henry Allen; Snow Hill 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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