| Page (PDF) | 57 |
|---|---|
| Certificate Number | 10114 |
| Name of Deceased | Peters (Dixxon), Pauline |
| Place of Death | Wicomico |
| Town of Death | Salisbury; 404 Water St |
| Sex | F |
| Race | Afro American |
| Married, Widowed, or Single | single |
| Date of Birth | 3/28/1911 |
| Age (year, month, days) | 7 yrs 1 mos 11 ds |
| Occupation or Employer | school girl |
| Birthplace | Md |
| Father's Name | Samuel W Peters |
| Father's Birthplace | Md |
| Mother's Name | Madelline Dixon |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Samuel W Peters; 4040 Water St Salisbury |
| Date of Death | 5/9/1918 |
| Cause of Death and Time Attended by Doctor | bronchitis & entero colitis; 11 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | JW Roberts; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | Hustons Cemetery; 5/11/1918; Holloway & Co; Salisbury 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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