| Page (PDF) | 1 |
|---|---|
| Certificate Number | 35895 |
| Name of Deceased | Adams, Sarah |
| Place of Death | Somerset |
| Town of Death | Shelltown |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | child |
| Date of Birth | 6/14/1917 |
| Age (year, month, days) | 5 mos 27 ds |
| Occupation or Employer | child |
| Birthplace | Somerset |
| Father's Name | Harrison Adams |
| Father's Birthplace | Somerset |
| Mother's Name | Anna Doughlas |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Harrison Adams; Shelltown Md |
| Date of Death | 12/11/1917 |
| Cause of Death and Time Attended by Doctor | Broncho pneumonia; don't know |
| Immediate, Secondary, or Contributory Cause and How Long | exposure; 2 wks ago home borned during night |
| Physician and Address | IAB Allen; Marion Md |
| Burial Place, Date, Undertaker, and Address | Ebanezer; 12/12/1917; All Smith; Shelltown |
| 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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