| Page (PDF) | 59 |
|---|---|
| Certificate Number | 11836 |
| Name of Deceased | Waters, Mr. Levin James |
| Place of Death | Somerset |
| Town of Death | Fairmount |
| Sex | M |
| Race | negro |
| Married, Widowed, or Single | widowed |
| Date of Birth | 7/1854 |
| Age (year, month, days) | abt 60 yrs 4 mos 25 ds |
| Occupation or Employer | sailor |
| Birthplace | Md |
| Father's Name | Levin T Waters |
| Father's Birthplace | Md |
| Mother's Name | Martha Anne Small |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Herbert Wilson; Upper Fairmount Md |
| Date of Death | 11/25/1914 |
| Cause of Death and Time Attended by Doctor | tuberculosis of lungs; abt 1 yr |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | WJ Barkley; 309 W - Ave. |
| Burial Place, Date, Undertaker, and Address | Upper Fairmount Md; 11/26/1914; Herbert Wilson; Up 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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