Page (PDF) | 73 |
---|---|
Certificate Number | 9964 |
Name of Deceased | Thomas, Viola Vastine |
Place of Death | Somerset |
Town of Death | Crisfield; 114 S 4th St |
Sex | F |
Race | negro |
Married, Widowed, or Single | single |
Date of Birth | 12/24/1901 |
Age (year, month, days) | 16 yrs 4 mos 25 ds |
Occupation or Employer | waiting; private family |
Birthplace | Crisfield Md |
Father's Name | Robert Thomas |
Father's Birthplace | Jamestown, Md |
Mother's Name | Mary Elzie |
Mother's Birthplace | Crisfield Md |
Informant (Relationship and Address) | Robert J Thomas; 114 South 4th St |
Date of Death | 5/19/1918 |
Cause of Death and Time Attended by Doctor | rheumatic feer & growth in brain of unknown origin; abt 1 yrs 28 ds |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Wj Barkley; 309 W Md Ave |
Burial Place, Date, Undertaker, and Address | Asbury Col Cemetery; 5/22/1918; JS Dawson; Crisfield |
Length of Residence, Where Disease Contracted, Former Residence | 16 yrs at Phila Pa; former res. Crisfield Md |
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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