| Page (PDF) | 67 |
|---|---|
| Certificate Number | 61384 |
| Name of Deceased | Mitchell, Theressa M |
| Place of Death | Wicomico |
| Town of Death | Salisbury RD1 |
| Sex | F |
| Race | Afro American |
| Married, Widowed, or Single | married |
| Date of Birth | 7/25/1889 |
| Age (year, month, days) | 29 yrs 4 mos 22 ds |
| Occupation or Employer | housework |
| Birthplace | Md |
| Father's Name | Andrew Black |
| Father's Birthplace | Md |
| Mother's Name | Amelia Puckham |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Amelia Black; Fruitland, Md |
| Date of Death | 12/17/1918 |
| Cause of Death and Time Attended by Doctor | Spanish influenza; 6 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | JW Roberts; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | Fruitland, Md; 12/20/1918; 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.
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