| Page (PDF) | 49 |
|---|---|
| Certificate Number | x |
| Name of Deceased | Smith, Lola A. |
| Place of Death | Somerset |
| Town of Death | Dames 1/4 |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | - |
| Date of Birth | 12/10/1909 |
| Age (year, month, days) | 3 yrs 1 ds |
| Occupation or Employer | – |
| Birthplace | Laurel, Del |
| Father's Name | Frank Smith |
| Father's Birthplace | Somerset co |
| Mother's Name | Sarah Jones |
| Mother's Birthplace | Somerset Co |
| Informant (Relationship and Address) | Frank Smith; Dames 1/4 Md |
| Date of Death | 12/26/1912 |
| Cause of Death and Time Attended by Doctor | Typhoid fever 11/25/1912 - 12/26/1912 |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | S. J. Windsor |
| Burial Place, Date, Undertaker, and Address | Dames 1/4 Md; 12/27/1912; t. W. Hendry; Deals Island 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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