| Page (PDF) | 7 |
|---|---|
| Certificate Number | 5689 |
| Name of Deceased | Daniels, Annie Cordelia |
| Place of Death | Somerset |
| Town of Death | Fairmount |
| Sex | F |
| Race | negro |
| Married, Widowed, or Single | married |
| Date of Birth | 4/10/18815 |
| Age (year, month, days) | 30 yrs 0 mos 20 ds |
| Occupation or Employer | domestic |
| Birthplace | Fairmount, Md |
| Father's Name | Robert Moore |
| Father's Birthplace | NC |
| Mother's Name | Harriet Johnson |
| Mother's Birthplace | Fairmount |
| Informant (Relationship and Address) | Elmer H Daniels; Crisfield |
| Date of Death | 4/30/1915 |
| Cause of Death and Time Attended by Doctor | tuberculosis of lungs; 1 yrs |
| Immediate, Secondary, or Contributory Cause and How Long | anemia; 3 mos |
| Physician and Address | WJ Barkley; 309 W Md Ave |
| Burial Place, Date, Undertaker, and Address | Greenmount Cemetery; 5/2/1915; HJ 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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