| Page (PDF) | 11 |
|---|---|
| Certificate Number | – |
| Name of Deceased | (Dennis), Infant no name |
| Place of Death | Wicomico |
| Town of Death | Salisbury Md |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Single |
| Date of Birth | 4/6/1912 |
| Age (year, month, days) | 22 days |
| Occupation or Employer | - |
| Birthplace | Md |
| Father's Name | George Dennis |
| Father's Birthplace | Md |
| Mother's Name | Noxie Collins |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Eliza Collins, Salisbury Md |
| Date of Death | 4/28/1912 |
| Cause of Death and Time Attended by Doctor | Congenital syphilis |
| Immediate, Secondary, or Contributory Cause and How Long | Toxemia |
| Physician and Address | D B Potter, M.D., Salisbury, Md |
| Burial Place, Date, Undertaker, and Address | Potters Field Salisbury Md 4/29/1912 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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