| Page (PDF) | 87 |
|---|---|
| Certificate Number | 5441 |
| Name of Deceased | White, nameless |
| Place of Death | Somerset |
| Town of Death | Dames Quarter |
| Sex | F |
| Race | B |
| Married, Widowed, or Single | x |
| Date of Birth | 4/11/1916 |
| Age (year, month, days) | – |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | William M White |
| Father's Birthplace | Md |
| Mother's Name | Gertrude Elzey |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Gertrude White; Dames Quarter |
| Date of Death | 4/11/1916 |
| Cause of Death and Time Attended by Doctor | accident to mother, blow on abdomen |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | EP Simpson; Chance Md |
| Burial Place, Date, Undertaker, and Address | Dames Quarter; 4/12/1916; AW Jones; Dames Quarter |
| 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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