Page (PDF) | 47 |
---|---|
Certificate Number | 6820 |
Name of Deceased | Waters, Charley |
Place of Death | Somerset |
Town of Death | Kingston, Md |
Sex | M |
Race | negro |
Married, Widowed, or Single | single |
Date of Birth | 6/4/1916 |
Age (year, month, days) | 1 yrs 10 mos 234 ds |
Occupation or Employer | not any |
Birthplace | Kingston Md |
Father's Name | Emory Waters |
Father's Birthplace | Kingston |
Mother's Name | Bessie Shreeves |
Mother's Birthplace | Cottage Grove, Md |
Informant (Relationship and Address) | Emory Waters; Kingston Md |
Date of Death | 4/28/1918 |
Cause of Death and Time Attended by Doctor | peritonitis cause unknown; 14 ds |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Wj Barkley; Crisfield |
Burial Place, Date, Undertaker, and Address | home cemetery; 4/29/1918; Tilghman & Ward; Marion |
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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