| Page (PDF) | 13 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Daniels, Kenneth |
| Place of Death | Somerset |
| Town of Death | Crisfield 202 N. 4th St |
| Sex | M |
| Race | A.A. |
| Married, Widowed, or Single | Single |
| Date of Birth | 9/5/1911 |
| Age (year, month, days) | 10 mos 12 days |
| Occupation or Employer | - |
| Birthplace | Crisfield, Md |
| Father's Name | Elmer Henry Daniels |
| Father's Birthplace | Crisfield, Md |
| Mother's Name | Annie Hayward |
| Mother's Birthplace | Kingston, Md |
| Informant (Relationship and Address) | Annie Daniels, 202 N. forth St. |
| Date of Death | 7/17/1912 |
| Cause of Death and Time Attended by Doctor | Accidental fall from a second story window to hard surface beneath |
| Immediate, Secondary, or Contributory Cause and How Long | Fracture of the base of the skull, 10 hrs |
| Physician and Address | Winter Julius Barkley |
| Burial Place, Date, Undertaker, and Address | Hopewell 7/18/1912 R J Adams undertaker, Crisfield, Md |
| Length of Residence, Where Disease Contracted, Former Residence | – |
| Other Notes | Accident |
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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