| Page (PDF) | 25 |
|---|---|
| Certificate Number | 925 |
| Name of Deceased | [Manuel], not named |
| Place of Death | Worcester |
| Town of Death | Stockton |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 1/6/1922 |
| Age (year, month, days) | none |
| Occupation or Employer | Maryland |
| Birthplace | Ogress manuel |
| Father's Name | Maryland |
| Father's Birthplace | Lucile roberts |
| Mother's Name | Maryland |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | John Roberts; Wellbourne Md |
| Date of Death | 1/6/1922 |
| Cause of Death and Time Attended by Doctor | no physician attendedl lived 3 hours never was right. Cause atelectrosis |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | WO Payne; Stockton md |
| Burial Place, Date, Undertaker, and Address | Justice Cemetary; 1/7/1922; rowley & Purnell; Stockton 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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