| Page (PDF) | 15 |
|---|---|
| Certificate Number | 795 |
| Name of Deceased | Fountain, Daisy May |
| Place of Death | Somerset |
| Town of Death | Westover |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 11/18/1912 |
| Age (year, month, days) | 2 mos 9 ds |
| Occupation or Employer | none |
| Birthplace | Somerset Co |
| Father's Name | Charles Fountaine |
| Father's Birthplace | Somerset Co |
| Mother's Name | Lillie Fountaine |
| Mother's Birthplace | Somerset Co |
| Informant (Relationship and Address) | Charles Fountaine; Westover Md |
| Date of Death | 1/27/1913 |
| Cause of Death and Time Attended by Doctor | sudden death probably from strangulation while coughing. I did not attend the case |
| Immediate, Secondary, or Contributory Cause and How Long | probably Bronchitis |
| Physician and Address | G. W. Gill; Manokin Md |
| Burial Place, Date, Undertaker, and Address | Manokin Md; 1/28/1913; Herbert Wilson; Upper Fairmount |
| 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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