| Page (PDF) | 77 |
|---|---|
| Certificate Number | 18916 |
| Name of Deceased | Waters, ? |
| Place of Death | Somerset |
| Town of Death | Crisfield; Jersey |
| Sex | M |
| Race | negro |
| Married, Widowed, or Single | single |
| Date of Birth | 11/2/1916 |
| Age (year, month, days) | abt 4 mos |
| Occupation or Employer | not any |
| Birthplace | Crisfield |
| Father's Name | John H Waters |
| Father's Birthplace | Fairmount Md |
| Mother's Name | Henriette Moore |
| Mother's Birthplace | Fairmount |
| Informant (Relationship and Address) | John H Waters; Crisfield |
| Date of Death | unknown |
| Cause of Death and Time Attended by Doctor | unknown |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | WJ Barkley; 309 W Md Ave |
| Burial Place, Date, Undertaker, and Address | Crisfield; 11/2/1916; father; Crisfield 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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