Page (PDF) | 17 |
---|---|
Certificate Number | – |
Name of Deceased | Holland, Earl |
Place of Death | Worcester |
Town of Death | Stockton |
Sex | M |
Race | Black |
Married, Widowed, or Single | Single |
Date of Birth | - |
Age (year, month, days) | 18 yrs |
Occupation or Employer | Laboror - farming |
Birthplace | Md |
Father's Name | Perry Holland |
Father's Birthplace | Wor. Co. Md |
Mother's Name | Mary Holland |
Mother's Birthplace | Worcester co Md |
Informant (Relationship and Address) | Perry Holland, Stockton, Md |
Date of Death | 11/17/1911 |
Cause of Death and Time Attended by Doctor | Influenza |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | John D. Dickerson, M.D. Eveiston, Md |
Burial Place, Date, Undertaker, and Address | Old St Paul Cemetary; 11/17/1911; George Rowley; 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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