| Page (PDF) | 21 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Halliday, Clarence |
| Place of Death | Somerset |
| Town of Death | - |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Infant |
| Date of Birth | 10/6/1911 |
| Age (year, month, days) | 7 mos 25 days |
| Occupation or Employer | – |
| Birthplace | Urbania Va |
| Father's Name | Clarence Halliday |
| Father's Birthplace | Urbania Va |
| Mother's Name | Idell Travis |
| Mother's Birthplace | Urbania Va |
| Informant (Relationship and Address) | Clarence Halliday, Urbania Va |
| Date of Death | 6/1/1912 |
| Cause of Death and Time Attended by Doctor | Don't know |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | No Dr in attendance - T.J. Smith, M.D. |
| Burial Place, Date, Undertaker, and Address | Nr Marion 6/1/1912 A W Dixon undertaker, Marion 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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