| Page (PDF) | 15 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Jackson, John |
| Place of Death | Wicomico |
| Town of Death | Delmar |
| Sex | M |
| Race | a.a. |
| Married, Widowed, or Single | Married |
| Date of Birth | unknown |
| Age (year, month, days) | about 81 yrs |
| Occupation or Employer | farmer |
| Birthplace | Maryland |
| Father's Name | James Jackson |
| Father's Birthplace | Maryland |
| Mother's Name | Henrietta Jackson |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Thomas Jackson, Delmar, Md |
| Date of Death | 5/8/1912 |
| Cause of Death and Time Attended by Doctor | Cardiac failure, 2 mos |
| Immediate, Secondary, or Contributory Cause and How Long | Bright's disease, 2 yrs |
| Physician and Address | IH Lynch?; x |
| Burial Place, Date, Undertaker, and Address | Delmar, Md 5/10/1912 Jas F. Stewart 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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