Page (PDF) | 51 |
---|---|
Certificate Number | 12136 |
Name of Deceased | Poter, Menervoa [Porter?] |
Place of Death | Worcester |
Town of Death | Newark Md |
Sex | F |
Race | col |
Married, Widowed, or Single | x |
Date of Birth | 12/3/1916 |
Age (year, month, days) | 7 mos 11 ds |
Occupation or Employer | x |
Birthplace | Maryland |
Father's Name | John Poter |
Father's Birthplace | Md |
Mother's Name | Annie Whaley |
Mother's Birthplace | Md |
Informant (Relationship and Address) | John Porter; Newark, Md |
Date of Death | 7/13/1917 |
Cause of Death and Time Attended by Doctor | acute gastro entititis |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Maures Lingo; Newark Md |
Burial Place, Date, Undertaker, and Address | Ceder Chapel Cemetery; 7/14/1917; JW Burbage & Bro; Berlin |
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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