| Page (PDF) | 3 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Brown, [ not named] |
| Place of Death | Worcester |
| Town of Death | Near Pocomoke |
| Sex | F |
| Race | Black |
| Married, Widowed, or Single | Single |
| Date of Birth | 5/21/1912 |
| Age (year, month, days) | 1 days |
| Occupation or Employer | - |
| Birthplace | Near Pocomoke |
| Father's Name | Thomas Brown |
| Father's Birthplace | Md |
| Mother's Name | Ella Fields |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Thos Brown, Pocomoke |
| Date of Death | - |
| Cause of Death and Time Attended by Doctor | Still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Ephraim Hillman, sub registrar, Pocomoke |
| Burial Place, Date, Undertaker, and Address | Unionville 5/21/1912 Chas Ballard undertaker, Pocomoke |
| 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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