Page (PDF) | 69 |
---|---|
Certificate Number | 4278 |
Name of Deceased | [Waters or Stevenson], no name |
Place of Death | Worcester |
Town of Death | near Snow Hill |
Sex | M |
Race | blk |
Married, Widowed, or Single | x |
Date of Birth | 1/24/1916 |
Age (year, month, days) | 2 mos 6 ds |
Occupation or Employer | x |
Birthplace | Worcester |
Father's Name | Jno T Waters |
Father's Birthplace | Worcester |
Mother's Name | Mary H Stevenson |
Mother's Birthplace | Worcester |
Informant (Relationship and Address) | Jno t Waters; Girdletree |
Date of Death | 3/30/1916 |
Cause of Death and Time Attended by Doctor | no physician one of triplets weak from birth |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Paul Jones; Snow Hill |
Burial Place, Date, Undertaker, and Address | Coolspring Cem; 3/31/1916; Thos Stevenson; Girdletree |
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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