| Page (PDF) | 65 |
|---|---|
| Certificate Number | 6861 |
| Name of Deceased | Waters, John W |
| Place of Death | Somerset |
| Town of Death | Upper Fairmount |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | married |
| Date of Birth | 9/28/1880 |
| Age (year, month, days) | 35 yrs 7 mos 13 ds |
| Occupation or Employer | oysterman |
| Birthplace | Somerset |
| Father's Name | John E Waters |
| Father's Birthplace | Maryland |
| Mother's Name | Jone Kenney |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Mariuss J Long; Fairmount Md |
| Date of Death | 5/11/1916 |
| Cause of Death and Time Attended by Doctor | acute nephritis and uremic coma; 4 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | ES Miles; Fairmount |
| Burial Place, Date, Undertaker, and Address | Centennial Cemetery; 5/11/1916; Herbert Wilson; Somerset |
| 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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