| Page (PDF) | 15 |
|---|---|
| Certificate Number | 16057 |
| Name of Deceased | Douglas Edna |
| Place of Death | Worcester |
| Town of Death | Stockton |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 10/8/1916 |
| Age (year, month, days) | 1 yrs 0 mos 0 ds |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Edward Douglas |
| Father's Birthplace | Maryland |
| Mother's Name | Laura F Douglas |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Edward Douglas; Stockton Md |
| Date of Death | 10/8/1916 |
| Cause of Death and Time Attended by Doctor | cholera infantum |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | John D Dickerson; Stockton Md |
| Burial Place, Date, Undertaker, and Address | Layton Cem; near Stockton; 10/9/1916; Hancock & Smack; Stockton 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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