Page (PDF) | 87 |
---|---|
Certificate Number | 1468 |
Name of Deceased | Long, Annie |
Place of Death | Somerset |
Town of Death | near Pocomoke |
Sex | F |
Race | colored |
Married, Widowed, or Single | married |
Date of Birth | abt 1851 |
Age (year, month, days) | abt 68 yrs |
Occupation or Employer | house wife |
Birthplace | Somerset |
Father's Name | Frank Kerself [Kersey?] |
Father's Birthplace | Somerset |
Mother's Name | Violet Kersey |
Mother's Birthplace | Somerset |
Informant (Relationship and Address) | Adison Kersey; Pocomoke City |
Date of Death | 1/17/1919 |
Cause of Death and Time Attended by Doctor | coma immediate remote paralysis has been paralysed for abt six years |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Isaac T Costen; Pocomoke |
Burial Place, Date, Undertaker, and Address | Tindleys Chapel; 1/19/1919; Balalrd & Bro; Pocomoke city |
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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