| Page (PDF) | 15 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Dennis, Infant |
| Place of Death | Somerset |
| Town of Death | Near Princess Anne |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | single |
| Date of Birth | 10/26/1912 |
| Age (year, month, days) | 4 ds. |
| Occupation or Employer | - |
| Birthplace | Maryland |
| Father's Name | Lewis Dennis |
| Father's Birthplace | Md |
| Mother's Name | Rose Dennis |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Lewis Dennis (father) Princess Anne |
| Date of Death | 10/3/1912 |
| Cause of Death and Time Attended by Doctor | unknown, child only lived 4 days, didn't know it was sick |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | T.J. Smith (not in attendance) Princess Ann |
| Burial Place, Date, Undertaker, and Address | Near Pr Ann 10/31/1912 James I Dennis Princess Ann,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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