Page (PDF) | 39 |
---|---|
Certificate Number | – |
Name of Deceased | Wilson, Clarence |
Place of Death | Wicomico |
Town of Death | PGH Hospital Salisbury Md |
Sex | M |
Race | Black |
Married, Widowed, or Single | Don't know |
Date of Birth | Don't know |
Age (year, month, days) | abt 27 yr |
Occupation or Employer | Laborer |
Birthplace | Virginia |
Father's Name | I don't know |
Father's Birthplace | I don't know |
Mother's Name | I don't know |
Mother's Birthplace | I don't know |
Informant (Relationship and Address) | W.W. Polk per G. C. Hill Salisbury Md |
Date of Death | 9/18/1912 |
Cause of Death and Time Attended by Doctor | was on train & his head was struck by some unfound object and crushed; object was supposed to be part of station and he had ?; Worcester Co. Md |
Immediate, Secondary, or Contributory Cause and How Long | Cerebral Hemorrhage |
Physician and Address | JMcF Dick Salisbury Md |
Burial Place, Date, Undertaker, and Address | 9/20/1912 shipped to Parkley Va (former residence Accomac Co Va. for burial by Geo. C. Hill |
Length of Residence, Where Disease Contracted, Former Residence | 6 hrs; contracted Worcester; residence Accomack |
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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