| Page (PDF) | 19 |
|---|---|
| Certificate Number | 18041 |
| Name of Deceased | Elsey, Polly |
| Place of Death | Wicomico |
| Town of Death | Nanticoke |
| Sex | F |
| Race | C |
| Married, Widowed, or Single | x |
| Date of Birth | 5/6/1915 |
| Age (year, month, days) | 5 mos |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | John W Elsey |
| Father's Birthplace | Maryland |
| Mother's Name | Evelene Jones |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Jno W Elsey; Nanticoke |
| Date of Death | 10/6/1915 |
| Cause of Death and Time Attended by Doctor | diarrhoea; 5 ds |
| Immediate, Secondary, or Contributory Cause and How Long | cholera infantus; 1 ds |
| Physician and Address | JH Oday; Jesterville |
| Burial Place, Date, Undertaker, and Address | ME Cemetery; colored; 10/6/1915 CG Messick; Bivalve |
| 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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