Page (PDF) | 15 |
---|---|
Certificate Number | – |
Name of Deceased | (Ellis), Infant no name |
Place of Death | Wicomico |
Town of Death | Salisbury |
Sex | M |
Race | Black |
Married, Widowed, or Single | Single |
Date of Birth | 1/28/1912 |
Age (year, month, days) | - |
Occupation or Employer | - |
Birthplace | Md |
Father's Name | Noah Ellis |
Father's Birthplace | Md |
Mother's Name | Sarah Gordy |
Mother's Birthplace | Md |
Informant (Relationship and Address) | Noah Ellis, Salisbury Md |
Date of Death | 1/28/1912 |
Cause of Death and Time Attended by Doctor | Born dead |
Immediate, Secondary, or Contributory Cause and How Long | Born dead |
Physician and Address | H. L Charles?, M.D., Salisbury, MD |
Burial Place, Date, Undertaker, and Address | Wm Ellis farm near Fruitland 1/28/1912 Holloway & Co undertaker, Salisbury 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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