| Page (PDF) | 43 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Waller, Hellen R |
| Place of Death | Wicomico |
| Town of Death | Mardela |
| Sex | F |
| Race | Black |
| Married, Widowed, or Single | - |
| Date of Birth | 7/14/1911 |
| Age (year, month, days) | 9 days |
| Occupation or Employer | - |
| Birthplace | - |
| Father's Name | Louis Waller |
| Father's Birthplace | Maryland |
| Mother's Name | Edith Polk |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Doris F. Waller, Mardela Md. |
| Date of Death | 7/23/1911 |
| Cause of Death and Time Attended by Doctor | not known |
| Immediate, Secondary, or Contributory Cause and How Long | - |
| Physician and Address | Isaac L. English, coroner |
| Burial Place, Date, Undertaker, and Address | Col Cemetery 7/24/1911 A L Seabrease undertaker, Mardela, 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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