Page (PDF) | 103 |
---|---|
Certificate Number | 7227 |
Name of Deceased | Waller, Adam |
Place of Death | Wicomico |
Town of Death | Mardella Springs |
Sex | M |
Race | AA |
Married, Widowed, or Single | single |
Date of Birth | 1827 |
Age (year, month, days) | abt 78 yrs |
Occupation or Employer | laborer |
Birthplace | Maryland |
Father's Name | Isaac Waller |
Father's Birthplace | Maryland |
Mother's Name | Annie Lankford |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Isaac Waller; Mardella Springs |
Date of Death | 7/10/1914 |
Cause of Death and Time Attended by Doctor | . Nephritis; 10 ds |
Immediate, Secondary, or Contributory Cause and How Long | chronic hepititis |
Physician and Address | Geo W Betson Jr; Mardela Springs md |
Burial Place, Date, Undertaker, and Address | Mardella Spring Cemetery; 7/12/1914; JF Stewart; Salisbury |
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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