| Page (PDF) | 103 |
|---|---|
| Certificate Number | 35529 |
| Name of Deceased | Ellis, Jane |
| Place of Death | Wicomico |
| Town of Death | Salisbury; 302 Catharine St |
| Sex | F |
| Race | Afro American |
| Married, Widowed, or Single | single |
| Date of Birth | 7/4/1903 |
| Age (year, month, days) | 15 yrs 3 mos 11 ds |
| Occupation or Employer | servant |
| Birthplace | Md |
| Father's Name | William Ellis |
| Father's Birthplace | Md |
| Mother's Name | Annie Townsand |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | William Ellis; Fruitland Md; RR2 |
| Date of Death | 10/15/1918 |
| Cause of Death and Time Attended by Doctor | influenza; 3 ds |
| Immediate, Secondary, or Contributory Cause and How Long | broncho pneumonia; 2 ds |
| Physician and Address | DW Potter; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | William Ellis farm; 10/17/1918; 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.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.