Page (PDF) | 79 |
---|---|
Certificate Number | 18068 |
Name of Deceased | Waters, John W |
Place of Death | Wicomico |
Town of Death | Tyaskin |
Sex | M |
Race | C |
Married, Widowed, or Single | widower |
Date of Birth | x |
Age (year, month, days) | abt 90 yrs |
Occupation or Employer | farmer |
Birthplace | Maryland |
Father's Name | Nichelas? |
Father's Birthplace | Md |
Mother's Name | Sarah Waters |
Mother's Birthplace | Md |
Informant (Relationship and Address) | JW Waters; Tyaskin |
Date of Death | 10/5/1915 |
Cause of Death and Time Attended by Doctor | senility ; did not see or sttend this case ; 3 mos |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | RE Caldwell; Bivalve Md |
Burial Place, Date, Undertaker, and Address | MP Cemetry Wetipquin; 10/6/1915; CG Messick; Bivalve 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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