Page (PDF) | 63 |
---|---|
Certificate Number | 1188 |
Name of Deceased | Waters, Frederic, infant no name |
Place of Death | Somerset |
Town of Death | near Eden RD2 |
Sex | F |
Race | Afro American |
Married, Widowed, or Single | x |
Date of Birth | 12/9/1917 |
Age (year, month, days) | 22 ds |
Occupation or Employer | x |
Birthplace | Md |
Father's Name | Frederic Waters |
Father's Birthplace | Md |
Mother's Name | Annie Wright |
Mother's Birthplace | Md |
Informant (Relationship and Address) | Orlandr Bowland; Eden Md RD1 |
Date of Death | 1/1/1918 |
Cause of Death and Time Attended by Doctor | broncho pneumonia |
Immediate, Secondary, or Contributory Cause and How Long | measles |
Physician and Address | WO Daisey; Fruitland Md |
Burial Place, Date, Undertaker, and Address | Ridge Church Somerset Co; 1/3/1918; Holloway & Co; Salisbury 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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