| Page (PDF) | 79 |
|---|---|
| Certificate Number | 11981 |
| Name of Deceased | Waters, Oliva Beatrice |
| Place of Death | Wicomico |
| Town of Death | Clara |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 6/5/1918 |
| Age (year, month, days) | 6 ds |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Wesley J Waters |
| Father's Birthplace | Maryland |
| Mother's Name | Elain Mcoy |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Wesley J Waters; Clara Md |
| Date of Death | 6/11/1918 |
| Cause of Death and Time Attended by Doctor | no physician in attendance |
| Immediate, Secondary, or Contributory Cause and How Long | cause to best of knowledge head fall by midwife |
| Physician and Address | x |
| Burial Place, Date, Undertaker, and Address | Clara; 6/12/1918; CG Messick; Bivalve 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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