| Page (PDF) | 33 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Robinson, John |
| Place of Death | Somerset |
| Town of Death | Nr Pr Anne |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Married |
| Date of Birth | 9/5/1886 |
| Age (year, month, days) | 26 yrs |
| Occupation or Employer | Laborer |
| Birthplace | Md |
| Father's Name | Saml Robinson |
| Father's Birthplace | Md |
| Mother's Name | Annie Robinson |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Ellie Robinson, Princess Anne Md |
| Date of Death | 8/15/1912 |
| Cause of Death and Time Attended by Doctor | Has been sick since about March 1st- No Dr in attendance for 3 or 4 months |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | T. J. Smith, M.D., Princess Anne, Md (No Dr in attendance) |
| Burial Place, Date, Undertaker, and Address | Revels Neck 8/17/1912 James J Dennis undertaker, Pr Anne 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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