| Page (PDF) | 21 |
|---|---|
| Certificate Number | x |
| Name of Deceased | Douglass, Beatrias Thomas |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | child |
| Date of Birth | 3/24/1912 |
| Age (year, month, days) | 7 mos 16 ds |
| Occupation or Employer | - |
| Birthplace | Va |
| Father's Name | James Douglass |
| Father's Birthplace | Md |
| Mother's Name | Ambert Handy |
| Mother's Birthplace | Va |
| Informant (Relationship and Address) | Rosanna Ewell; Kingston |
| Date of Death | 11/18/1912 |
| Cause of Death and Time Attended by Doctor | child sick most all the time; no Dr since August |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | F. T Adams Marion |
| Burial Place, Date, Undertaker, and Address | Watters Cemetery 11/20/1912 A.W. Dixon Marion |
| 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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