| Page (PDF) | 45 |
|---|---|
| Certificate Number | x |
| Name of Deceased | Petitte, Lottie |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | F |
| Race | Dark |
| Married, Widowed, or Single | Single |
| Date of Birth | 3/17/1904 |
| Age (year, month, days) | 18 yrs 8 mos |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Jone Petite |
| Father's Birthplace | Virginia |
| Mother's Name | Harriet Dennis |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | John Petite Pocomoke |
| Date of Death | 11/29/1912 |
| Cause of Death and Time Attended by Doctor | supposed consumption; since not attended by doctor for a 3 months. Dr. A. Parker refused to sign certificate |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Johnson Hillman |
| Burial Place, Date, Undertaker, and Address | Pocomoke 11/30/1912/ Sl- B-/ Pocomoke |
| 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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