| Page (PDF) | 169 |
|---|---|
| Certificate Number | 34990 |
| Name of Deceased | Smith, Mildred A Smith |
| Place of Death | Somerset |
| Town of Death | Mt Vernon |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 7/13/1903 |
| Age (year, month, days) | 15 yrs 3 mos 4 ds |
| Occupation or Employer | school |
| Birthplace | Md |
| Father's Name | Elsey Smith |
| Father's Birthplace | Md |
| Mother's Name | Lucy Waters |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Elsey Smith; Princess Anne Rt 2 |
| Date of Death | 10/17/1918 |
| Cause of Death and Time Attended by Doctor | broncho pneumonia |
| Immediate, Secondary, or Contributory Cause and How Long | influenza |
| Physician and Address | HA Barnes; P Anne |
| Burial Place, Date, Undertaker, and Address | Mt Vernon; 10/18/1918; Dashiell Bros; P Anne |
| 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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