| Page (PDF) | 69 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Shire, No name |
| Place of Death | Somerset |
| Town of Death | Kingston |
| Sex | x |
| Race | Col |
| Married, Widowed, or Single | Infant |
| Date of Birth | 3/24/1912 |
| Age (year, month, days) | 0 yrs 0 mos 0 ds |
| Occupation or Employer | - |
| Birthplace | Somerset Co |
| Father's Name | Lou Shires |
| Father's Birthplace | Somerset Co |
| Mother's Name | Lena Culvers |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | - |
| Date of Death | 3/24/1912 |
| Cause of Death and Time Attended by Doctor | Still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | R E Caldwell, M.D. Kingston, Md |
| Burial Place, Date, Undertaker, and Address | x |
| 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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