| Page (PDF) | 7 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Bivans, [not named] |
| Place of Death | Wicomico |
| Town of Death | Salisbury |
| Sex | M |
| Race | Col. |
| Married, Widowed, or Single | - |
| Date of Birth | 6/4/1912 |
| Age (year, month, days) | 3 days |
| Occupation or Employer | - |
| Birthplace | Salisbury |
| Father's Name | John Bailey |
| Father's Birthplace | Md |
| Mother's Name | Ethel Bivans |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Frank Bivans, Salisbury, Md |
| Date of Death | 6/8/1912 |
| Cause of Death and Time Attended by Doctor | I did not see the case - Sick from Birth |
| Immediate, Secondary, or Contributory Cause and How Long | Convulsions |
| Physician and Address | C R Truitt, M.D., Salisbury, Md |
| Burial Place, Date, Undertaker, and Address | Salisbury Md 6/8/1912 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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