| Page (PDF) | 1 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Ellis, Bertha E. |
| Place of Death | Wicomico |
| Town of Death | Fruitland |
| Sex | F |
| Race | A.A. |
| Married, Widowed, or Single | M |
| Date of Birth | 2/17/1887 |
| Age (year, month, days) | 24 yrs 2 mos 7 days |
| Occupation or Employer | General house work |
| Birthplace | Maryland |
| Father's Name | John Rock |
| Father's Birthplace | Maryland |
| Mother's Name | Hattie Banks |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Thamar Brewington, Fruitland, Md |
| Date of Death | 4/28/1911 |
| Cause of Death and Time Attended by Doctor | Tuberculosis |
| Immediate, Secondary, or Contributory Cause and How Long | Grippe |
| Physician and Address | C. R. Truitt, Salisbury, Md |
| Burial Place, Date, Undertaker, and Address | Fruitland, Md, 4/27, 1911, Jas F. Stewart, 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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