| Page (PDF) | 3 |
|---|---|
| Certificate Number | x |
| Name of Deceased | Blake, Mary E. |
| Place of Death | Worcester |
| Town of Death | Snow Hill |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Married |
| Date of Birth | 1857 |
| Age (year, month, days) | 55 yrs |
| Occupation or Employer | house wife |
| Birthplace | Snow Hill |
| Father's Name | Francis Nelson |
| Father's Birthplace | Snow Hill |
| Mother's Name | Mary Truitt |
| Mother's Birthplace | Snow Hill |
| Informant (Relationship and Address) | Georgana Blake; Snow Hill |
| Date of Death | 12/7/1912 |
| Cause of Death and Time Attended by Doctor | acute nephritis |
| Immediate, Secondary, or Contributory Cause and How Long | acute nephritis 11/28/1912-12/6/1912 |
| Physician and Address | Joshua L. Riley; Snow Hill, Md |
| Burial Place, Date, Undertaker, and Address | Ebenezer Cemetery; 12/8/1912/William S. Williams; Snow Hill, 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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