Page (PDF) | 77 |
---|---|
Certificate Number | 4046 |
Name of Deceased | [Waller] not named [child of Maggie] |
Place of Death | Wicomico |
Town of Death | near Mardela Springs |
Sex | M |
Race | Black |
Married, Widowed, or Single | single |
Date of Birth | 3/9/1913 |
Age (year, month, days) | 1 ds |
Occupation or Employer | - |
Birthplace | Wicomico |
Father's Name | Not known |
Father's Birthplace | not known |
Mother's Name | Maggie Waller |
Mother's Birthplace | Wicomico |
Informant (Relationship and Address) | John Waller; Mardela Sprgs |
Date of Death | 3/9/1913 |
Cause of Death and Time Attended by Doctor | still born |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Geo W. Betson Jr; Mardela |
Burial Place, Date, Undertaker, and Address | near Mardela; no date; AL Seabrease; Mardela 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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