| Page (PDF) | 11 |
|---|---|
| Certificate Number | 7009 |
| Name of Deceased | Gillette, Lottie M |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | infant |
| Date of Birth | 12/5/1911 |
| Age (year, month, days) | 6 yrs 4 mos 15 ds |
| Occupation or Employer | infant |
| Birthplace | Worcester |
| Father's Name | John Jackson |
| Father's Birthplace | Somerset |
| Mother's Name | Edith Gillette |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | Charlotte Gillette; Pocomoke #2 |
| Date of Death | 4/20/1918 |
| Cause of Death and Time Attended by Doctor | cerebral congestion and convulsions; 4 ds |
| Immediate, Secondary, or Contributory Cause and How Long | cold and abcess in ear (chronic) 3 yrs 7 ds |
| Physician and Address | Saml S Quinn; Pocomoke city |
| Burial Place, Date, Undertaker, and Address | Slocomb farm VA near Pocomoke; 4/22/1918; CH Ballard & Bros; Pocomoke |
| 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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