Page (PDF) | 43 |
---|---|
Certificate Number | – |
Name of Deceased | Mills, John |
Place of Death | Somerset |
Town of Death | Westover |
Sex | M |
Race | Colored |
Married, Widowed, or Single | Married |
Date of Birth | 11/13/1911 |
Age (year, month, days) | 27 yr 8 mos 16 days |
Occupation or Employer | Farm laborer, Farming |
Birthplace | Maryland |
Father's Name | Geo. Mills |
Father's Birthplace | Maryland |
Mother's Name | Easter Halen |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Samuel Williams, Westover R.F.D. |
Date of Death | 11/13/1911 |
Cause of Death and Time Attended by Doctor | Typhoid fever, 28 days |
Immediate, Secondary, or Contributory Cause and How Long | Perforation of bowels |
Physician and Address | R. Lee Hall, Pocomoke City, Md |
Burial Place, Date, Undertaker, and Address | Chas Ballard undertaker, Pocomoke, 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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