Page (PDF) | 1 |
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Certificate Number | 35419 |
Name of Deceased | Aydelotte, Daisey |
Place of Death | Worcester |
Town of Death | near Pocomoke |
Sex | F |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 1902 |
Age (year, month, days) | 16 yrs |
Occupation or Employer | domestic |
Birthplace | Worcester |
Father's Name | Wm Mills |
Father's Birthplace | Worcester |
Mother's Name | Frances Aydelotte |
Mother's Birthplace | Worcester |
Informant (Relationship and Address) | Geo Northam??; Pocomoke City |
Date of Death | 10/20/1918 |
Cause of Death and Time Attended by Doctor | valvular heart trouble; several months |
Immediate, Secondary, or Contributory Cause and How Long | influenza; "I only saw her once"; 15 ds |
Physician and Address | Saml S Quinn; Pocomoke city |
Burial Place, Date, Undertaker, and Address | Halls Hill # : Pocomoke; 10/22/1918; CH Ballard & Bros; Pocomoke |
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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