Record #682 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922
| Page (PDF) | 33 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Rock, Wm |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Widowed |
| Date of Birth | unknown |
| Age (year, month, days) | supposed to be about 80 yrs |
| Occupation or Employer | Labourer |
| Birthplace | Md |
| Father's Name | Unknown |
| Father's Birthplace | Unknown |
| Mother's Name | Unknown |
| Mother's Birthplace | Unknown |
| Informant (Relationship and Address) | John Rock (Stepson), Princess Anne, Md |
| Date of Death | 1/8/1912 |
| Cause of Death and Time Attended by Doctor | Burned to death - House caught fire and he burned in it |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | T.J. Smith, M.D., Princess Anne |
| Burial Place, Date, Undertaker, and Address | Princess Anne 1/9/1912 James F. Dennis undertaker, Princess Anne 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.