Record #3810 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	23
Certificate Number	5150
Name of Deceased	Derickson, Grace
Place of Death	Worcester
Town of Death	Stockton
Sex	F
Race	colored
Married, Widowed, or Single	widow
Date of Birth	x
Age (year, month, days)	abt 70
Occupation or Employer	laborer; washer woman
Birthplace	Maryland
Father's Name	Elisha Purnell
Father's Birthplace	Maryland
Mother's Name	Mary Purnell
Mother's Birthplace	Maryland
Informant (Relationship and Address)	Elisha Derickson; Stockton Md
Date of Death	3/18/1918
Cause of Death and Time Attended by Doctor	delalation of heart
Immediate, Secondary, or Contributory Cause and How Long	–
Physician and Address	HR Wood; Greenbackville, Va
Burial Place, Date, Undertaker, and Address	Stockton ST Paul Cemetary; 3/21/1918; Hancock H Smack; Stockton Md
Length of Residence, Where Disease Contracted, Former Residence	–
Other Notes	–

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[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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Page (PDF) 21

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