| Page (PDF) | 75 |
|---|---|
| Certificate Number | 8589 |
| Name of Deceased | Waters, Addison James |
| Place of Death | Somerset |
| Town of Death | near Princess Anne |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | married |
| Date of Birth | 10/6/1840 |
| Age (year, month, days) | 76 yrs 7 mos 18 ds |
| Occupation or Employer | farmer |
| Birthplace | Maryland |
| Father's Name | L J Waters |
| Father's Birthplace | Maryland |
| Mother's Name | Lovey Boston |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Alonzo S Waters |
| Date of Death | 5/24/1917 |
| Cause of Death and Time Attended by Doctor | heart disease - dead .? |
| Immediate, Secondary, or Contributory Cause and How Long | acute . |
| Physician and Address | R L ee Hall; Pocomoke City Md |
| Burial Place, Date, Undertaker, and Address | Unionville; 5/25/1917; Stevenson Bros; Pocomoke |
| 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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