| Page (PDF) | 35 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Smith, Ida W |
| Place of Death | Somerset |
| Town of Death | Mt Vernon |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | S |
| Date of Birth | 12/17/1908 |
| Age (year, month, days) | 2 yrs 4 mos |
| Occupation or Employer | Infant |
| Birthplace | Somerset Co |
| Father's Name | John W. Smith |
| Father's Birthplace | Somerset Co |
| Mother's Name | Annie? Harris |
| Mother's Birthplace | Somerset Co |
| Informant (Relationship and Address) | John S. Smith, Princess Anne Md |
| Date of Death | 4/17/1911 |
| Cause of Death and Time Attended by Doctor | Bronclis pneumonia, 4 days |
| Immediate, Secondary, or Contributory Cause and How Long | Pertussis |
| Physician and Address | H. A. Barnes, Princess Anne, Md |
| Burial Place, Date, Undertaker, and Address | Mt Vernon Md, 4/18/1911, Dashiell Bros undertaker, Princess Anne, 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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