| Page (PDF) | 37 |
|---|---|
| Certificate Number | 2090 |
| Name of Deceased | [Jackson], unnamed |
| Place of Death | Worcester |
| Town of Death | Girdletree |
| Sex | M |
| Race | negro |
| Married, Widowed, or Single | x |
| Date of Birth | 2/20/1922 |
| Age (year, month, days) | born dead |
| Occupation or Employer | none |
| Birthplace | Girdletree Md |
| Father's Name | John Jackson |
| Father's Birthplace | Girdletree Md |
| Mother's Name | Vela Wise |
| Mother's Birthplace | Accomac VA |
| Informant (Relationship and Address) | John Jackson; Girdletree Md |
| Date of Death | 2/20/1922 |
| Cause of Death and Time Attended by Doctor | born dead |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | SC Oglesby; Girdletree Md |
| Burial Place, Date, Undertaker, and Address | Coolspring Cem; 2/20/1922; WS Williams; 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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