Page (PDF) | 29 |
---|---|
Certificate Number | 12880 |
Name of Deceased | Waters, Perriel M |
Place of Death | Worcester |
Town of Death | Snow Hill |
Sex | F? |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 8/7/1912 |
Age (year, month, days) | 1 yr 1 mo 10 ds |
Occupation or Employer | none |
Birthplace | Snow Hill Md |
Father's Name | William Waters |
Father's Birthplace | Accomack Co Va |
Mother's Name | Ella Brittingham |
Mother's Birthplace | near Snow Hill Md |
Informant (Relationship and Address) | William Waters; Snow Hill md |
Date of Death | 9/7/1913 |
Cause of Death and Time Attended by Doctor | Hooping Cough |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | John Aydelotte; Snow Hill Md |
Burial Place, Date, Undertaker, and Address | Baptis Cemetery; 9/18/1913; 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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