| Page (PDF) | 79 |
|---|---|
| Certificate Number | 1159 |
| Name of Deceased | Waters, Wm H |
| Place of Death | Somerset |
| Town of Death | P Anne |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | x |
| Date of Birth | 1/16/1916 |
| Age (year, month, days) | 6 ds |
| Occupation or Employer | x |
| Birthplace | Somerset |
| Father's Name | Jno H Waters |
| Father's Birthplace | Somerset |
| Mother's Name | Janie Morris |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Jno H Waters; Princess Anne |
| Date of Death | 1/301/1916 |
| Cause of Death and Time Attended by Doctor | no dr saw child; tetanus judged to be cause of death |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | TJ Smith; P Anne Md |
| Burial Place, Date, Undertaker, and Address | Princess Anne; 2/1/1916; Wm James; Pr Anne |
| 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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