Page (PDF) | 21 |
---|---|
Certificate Number | 16604 |
Name of Deceased | Foreman, Connie |
Place of Death | Worcester |
Town of Death | Welbourne |
Sex | F |
Race | colored |
Married, Widowed, or Single | married |
Date of Birth | 9/1/1901 |
Age (year, month, days) | 16 yrs 1 ds |
Occupation or Employer | laborer |
Birthplace | Maryaldn |
Father's Name | Jim Wise |
Father's Birthplace | Maryland |
Mother's Name | Henrietta Wise |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Luther Foreman; Welbourne Md |
Date of Death | 9/2/1917 |
Cause of Death and Time Attended by Doctor | acute nephritis; duration one week |
Immediate, Secondary, or Contributory Cause and How Long | puerperal eclampsia; 36 hrs |
Physician and Address | AF Wood; Greenbackville VA |
Burial Place, Date, Undertaker, and Address | Old St Paul Cemetary; 9/4/1917; HA Covington; New Church Va |
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.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.