| Page (PDF) | 29 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Maddox, Rachell |
| Place of Death | Somerset |
| Town of Death | Fairmount |
| Sex | F |
| Race | Black |
| Married, Widowed, or Single | M |
| Date of Birth | don't know |
| Age (year, month, days) | 73 yrs as near as I can --- it |
| Occupation or Employer | Housewife |
| Birthplace | Somerset Co., Md |
| Father's Name | John Waters |
| Father's Birthplace | Somerset Co., Md |
| Mother's Name | Leah Waters |
| Mother's Birthplace | Somerset Co., Md |
| Informant (Relationship and Address) | John H. Waters, Upper Fairmount |
| Date of Death | 2/14/1911 |
| Cause of Death and Time Attended by Doctor | Bright's disease and other complications |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Edward S Miles; Upper Fairmount |
| Burial Place, Date, Undertaker, and Address | Peoples Cemetary, x, Hubart S. Wilson undertaker, Up. Fairmount |
| 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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