| Page (PDF) | 5 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Blake, George Robert |
| Place of Death | Worcester |
| Town of Death | Girdletree |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | Single |
| Date of Birth | 1/28/1911 |
| Age (year, month, days) | 1 yrs 6 mos 3 days |
| Occupation or Employer | none |
| Birthplace | Maryland |
| Father's Name | Robert Blake |
| Father's Birthplace | Maryland |
| Mother's Name | Ellen Harman |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Robert Blake, Girdletree, Md |
| Date of Death | 7/31/1912 |
| Cause of Death and Time Attended by Doctor | Enterocolitis, 1 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | John D Dickerson, M.D., Stockton, Md |
| Burial Place, Date, Undertaker, and Address | Near Girdletree Md 9/2/1912 Geo H Rowley undertaker, Stockton 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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