| Page (PDF) | 79 |
|---|---|
| Certificate Number | – |
| Name of Deceased | White, Still Born |
| Place of Death | Somerset |
| Town of Death | Dames Quarter |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Single |
| Date of Birth | 10/30/1911 |
| Age (year, month, days) | Still born |
| Occupation or Employer | - |
| Birthplace | Somerset co. |
| Father's Name | Wallie White |
| Father's Birthplace | Somerset Co |
| Mother's Name | Gertrude Elsey |
| Mother's Birthplace | Somerset Co |
| Informant (Relationship and Address) | Willie White, Dames Quarter Md |
| Date of Death | 10/30/1911 |
| Cause of Death and Time Attended by Doctor | Still Born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | W.S. Kelly, sub-Registrar |
| Burial Place, Date, Undertaker, and Address | Dames Quarter, Md 11/1/1911 F.G. Webster undertaker, Deals Island, 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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