Page (PDF) | 25 |
---|---|
Certificate Number | 2813 |
Name of Deceased | [Waters], not named |
Place of Death | Worcester |
Town of Death | Girdletree |
Sex | M |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 1/24/1916 |
Age (year, month, days) | 15 ds |
Occupation or Employer | none |
Birthplace | Worcester |
Father's Name | Jno Thos Waters |
Father's Birthplace | Wor Co |
Mother's Name | Mary Hester Stevenson |
Mother's Birthplace | Wor Co |
Informant (Relationship and Address) | Jno Thos Waters; Girdletree Md |
Date of Death | 2/8/1916 |
Cause of Death and Time Attended by Doctor | no doctor. Weakling from birth. Second one of triplets |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | LeRoy Smith, L Reg.; Snow Hill Md |
Burial Place, Date, Undertaker, and Address | Coolspring Ce.; 2/9/1916; Thos Stevenson; Girdletree 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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