| Page (PDF) | 27 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Smith, Mary J. |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | F |
| Race | Black |
| Married, Widowed, or Single | W |
| Date of Birth | unknown |
| Age (year, month, days) | unknown |
| Occupation or Employer | Housewife |
| Birthplace | unknown |
| Father's Name | Amons Purnell |
| Father's Birthplace | Maryland |
| Mother's Name | Rodey Robbins |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Thomas Smith, Berlin, Md |
| Date of Death | 2/28/1911 |
| Cause of Death and Time Attended by Doctor | Lumbar Pneumonia, 4 days |
| Immediate, Secondary, or Contributory Cause and How Long | - |
| Physician and Address | Ira C Tyndall, Berlin, Md |
| Burial Place, Date, Undertaker, and Address | Berlin, Md 3/2/1911 Curtis J Evans undertaker Berlin, 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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