| Page (PDF) | 81 |
|---|---|
| Certificate Number | 5438 |
| Name of Deceased | Waters, Adolphus |
| Place of Death | Somerset |
| Town of Death | Upper Fairmount |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | married |
| Date of Birth | unknown |
| Age (year, month, days) | abt 45 yrs |
| Occupation or Employer | oysterman & farmer |
| Birthplace | Somerset |
| Father's Name | John G Waters |
| Father's Birthplace | Somerset |
| Mother's Name | Maria Sudler |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Manship Waters; Uppr Fairmount |
| Date of Death | 4/12/1916 |
| Cause of Death and Time Attended by Doctor | tuberculosis ungs; 1 yrs 5 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | ES Miles; Uppr Fairmount |
| Burial Place, Date, Undertaker, and Address | colored Cemetery; 4/14/1916; Herbert Wilson; Upper Fairmount |
| 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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