Page (PDF) | 29 |
---|---|
Certificate Number | 36103 |
Name of Deceased | Hayward, Mary |
Place of Death | Worcester |
Town of Death | near Snow Hill |
Sex | F |
Race | col |
Married, Widowed, or Single | married |
Date of Birth | 8/21/1845 |
Age (year, month, days) | 72 yrs 4 mos 5 ds |
Occupation or Employer | house wife |
Birthplace | Worcester |
Father's Name | Levin Kellem |
Father's Birthplace | Worcester Md |
Mother's Name | Elizia Purnaell |
Mother's Birthplace | Worcester |
Informant (Relationship and Address) | Sydney Hayward; Snow Hil Md |
Date of Death | 12/25/1917 |
Cause of Death and Time Attended by Doctor | diabetes; nophysician at tme of death; 2 yrs or more |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Paul Jones; Snow Hill Md |
Burial Place, Date, Undertaker, and Address | Ebenezer Cemetary; 12/26/1917; William S Williams; Snow Hil 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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