| Page (PDF) | 11 |
|---|---|
| Certificate Number | 23123 |
| Name of Deceased | David, Olevia J |
| Place of Death | Worcester |
| Town of Death | Selbyville Del RD2 |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 7/4/1895 |
| Age (year, month, days) | 21 yrs 5 mos 21 ds |
| Occupation or Employer | housework |
| Birthplace | Maryland |
| Father's Name | John H Davis |
| Father's Birthplace | Maryland |
| Mother's Name | Mollis A Jones |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | John H Davis; Selbyville Del RD |
| Date of Death | 12/25/1916 |
| Cause of Death and Time Attended by Doctor | puerperal peritonitis; 2 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GE James; Selbyville, Del |
| Burial Place, Date, Undertaker, and Address | Whaleyville Cem; 12/27/1916; P F Watson; Selbyville Del |
| 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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