| Page (PDF) | 41 |
|---|---|
| Certificate Number | 2542 |
| Name of Deceased | Waller, still born child |
| Place of Death | Wicomico |
| Town of Death | near Mardela |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 2/15/1915 |
| Age (year, month, days) | x |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | Hicks Waller |
| Father's Birthplace | Md |
| Mother's Name | Alberta Dashiell |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Hick Waller; Mardela Md |
| Date of Death | 2/15/1915 |
| Cause of Death and Time Attended by Doctor | still born |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | CL English, reg. |
| Burial Place, Date, Undertaker, and Address | ME Church, col; 2/16; 1915; Charlie Dashiell; 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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