| Page (PDF) | 13 |
|---|---|
| Certificate Number | 4904 |
| Name of Deceased | Douglas, Bertha |
| Place of Death | Somerset |
| Town of Death | Oriole |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 1/25/1903 |
| Age (year, month, days) | 15 yrs 1 mos 5 ds |
| Occupation or Employer | school child |
| Birthplace | Oriole, Md |
| Father's Name | George Douglas |
| Father's Birthplace | Westmoreland Co, VA |
| Mother's Name | Jennie White |
| Mother's Birthplace | Oriole, Md |
| Informant (Relationship and Address) | George Maddox; Oriole Md |
| Date of Death | 3/1/1918 |
| Cause of Death and Time Attended by Doctor | syncope; don't know |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | John T Ruby; Oriole Md |
| Burial Place, Date, Undertaker, and Address | Oriole Md; 3/2/1918; James Dennis; Princess Anne 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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