Record #4701 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	53
Certificate Number	11729
Name of Deceased	Waters, William
Place of Death	Somerset
Town of Death	Mt Vernon
Sex	M
Race	c
Married, Widowed, or Single	single
Date of Birth	not known
Age (year, month, days)	abt 85 yrs
Occupation or Employer	farmer
Birthplace	Md
Father's Name	not known
Father's Birthplace	not known
Mother's Name	not known
Mother's Birthplace	not known
Informant (Relationship and Address)	PB Bloodsworth; Princess Anne
Date of Death	8/13/1919
Cause of Death and Time Attended by Doctor	chronic nephritis
Immediate, Secondary, or Contributory Cause and How Long	–
Physician and Address	HA Barnes; x
Burial Place, Date, Undertaker, and Address	Alms house; 8/14/1919; County; Somerset
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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Page (PDF) 41

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Page (PDF) 5

Certificate Number –

Name of Deceased Broughton, Frank

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Page (PDF) 7

Certificate Number –

Name of Deceased Brown, John

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Page (PDF) 11

Certificate Number –

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Page (PDF) 11

Certificate Number –

Name of Deceased Carson, Charles N.

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Page (PDF) 21

Certificate Number –

Name of Deceased Farlow, Miss Annie

Place of Death Wicomico

Town of Death Salisbury

Sex F

Race A.A.

Married, Widowed, or Single Single

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Mother's Name Not known

Mother's Birthplace Not known

Informant (Relationship and Address) Mrs Austar, Salisbury Md

Date of Death 10/10/1911

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Page (PDF) 37

Certificate Number –

Name of Deceased Potter, Isaac

Place of Death Wicomico

Town of Death Salisbury; Pen. Gen. Hospital

Sex M

Race Colored

Married, Widowed, or Single -

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Mother's Birthplace Not known

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Cause of Death and Time Attended by Doctor Cerebrel hemorrhage (artereo sclerious)

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Other Notes –

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Place of Death Somerset

Town of Death Princess Anne

Age (year, month, days) 73 yrs

Occupation or Employer Housewife

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Cause of Death and Time Attended by Doctor Bronchitis, 1 1/2 mos

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Page (PDF) 3

Certificate Number –

Name of Deceased Ballard, Mary

Place of Death Somerset

Town of Death Princess Anne

Sex F

Race Colored

Married, Widowed, or Single Widowed

Date of Birth Not known, 1839

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Occupation or Employer Housewife

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Father's Name Not known

Father's Birthplace not known

Mother's Name Rachel Carr

Mother's Birthplace Not known

Informant (Relationship and Address) Sarah Ballard, Princess Anne, Md

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Immediate, Secondary, or Contributory Cause and How Long –

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Name of Deceased Collier, Elmira

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Town of Death Near Fruitland

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Page (PDF) 9

Certificate Number –

Name of Deceased Collier, Elmira

Place of Death Wicomico

Town of Death Near Fruitland

Sex F

Race Black

Married, Widowed, or Single Widow

Date of Birth We have no record

Age (year, month, days) about 80 yrs

Occupation or Employer None

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Father's Name Not known

Father's Birthplace not known

Mother's Name Chloe Humphreys

Mother's Birthplace Maryland

Informant (Relationship and Address) Frd. Gunby, Fruitland

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Physician and Address C R Truitt, M.D., Salisbury, Md

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Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Lowe, Andrew Jackson

Place of Death Wicomico

Town of Death near Salisbury

Age (year, month, days) about 73 yrs

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Date of Death 8/16/1912

Cause of Death and Time Attended by Doctor Old age - Chronic Cystitus

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Page (PDF) 45

Certificate Number –

Name of Deceased Lowe, Andrew Jackson

Place of Death Wicomico

Town of Death near Salisbury

Sex M

Race Black

Married, Widowed, or Single Widower

Date of Birth Not known

Age (year, month, days) about 73 yrs

Occupation or Employer Farmwork - Employed

Birthplace Wicomico Co. Md.

Father's Name Not known

Father's Birthplace -

Mother's Name Mary Dashiell

Mother's Birthplace Wicomico Md

Informant (Relationship and Address) Georgiana Elzey, Cold, Salisbry Md

Date of Death 8/16/1912

Cause of Death and Time Attended by Doctor Old age - Chronic Cystitus

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address C R Truitt, M.D., Salisbury, Md

Burial Place, Date, Undertaker, and Address Hungry neck Wicomico Co. Md 8/18/1912 Geo. C. Hill undertaker, Salisbury, Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Slemons, Katherine

Place of Death Somerset

Town of Death Princess Anne

Age (year, month, days) abt 80 yrs

Occupation or Employer not known

Date of Death 9/13/1912

Cause of Death and Time Attended by Doctor Infirmities of age 8 mos

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Page (PDF) 59

Certificate Number –

Name of Deceased Slemons, Katherine

Place of Death Somerset

Town of Death Princess Anne

Sex F

Race Colored

Married, Widowed, or Single Married

Date of Birth Not known

Age (year, month, days) abt 80 yrs

Occupation or Employer not known

Birthplace Not known

Father's Name Not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Avery Slemons Princess Anne

Date of Death 9/13/1912

Cause of Death and Time Attended by Doctor Infirmities of age 8 mos

Immediate, Secondary, or Contributory Cause and How Long 7/1/1912-9/13/1912

Physician and Address Avery M. Lankford Princess Anne

Burial Place, Date, Undertaker, and Address near Pr Ann 9/15/1912 James I Dennis Princess Anne

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Smith, Jefferson

Place of Death Somerset

Town of Death Habnab

Age (year, month, days) abt 59 yrs

Occupation or Employer Farmer

Date of Death 12/11/1912

Cause of Death and Time Attended by Doctor Senility 1 yr - attended by dr 8/1/1912-12/11/1912

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Page (PDF) 47

Certificate Number x

Name of Deceased Smith, Jefferson

Place of Death Somerset

Town of Death Habnab

Sex M

Race Colored

Married, Widowed, or Single widowed

Date of Birth 1853

Age (year, month, days) abt 59 yrs

Occupation or Employer Farmer

Birthplace Maryland

Father's Name Not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Isaac Smith; Habnab, Md

Date of Death 12/11/1912

Cause of Death and Time Attended by Doctor Senility 1 yr - attended by dr 8/1/1912-12/11/1912

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Henry M Lankford; Princess Md

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Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Frazier, Mr. Charles Edward

Place of Death Somerset

Town of Death Crisfield 111 S. 4th St Crisfield

Age (year, month, days) abt 60

Occupation or Employer Barber

Date of Death 2/20/1913

Cause of Death and Time Attended by Doctor found dead on arrival

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Page (PDF) 11

Certificate Number 2271

Name of Deceased Frazier, Mr. Charles Edward

Place of Death Somerset

Town of Death Crisfield 111 S. 4th St Crisfield

Sex M

Race colored

Married, Widowed, or Single widowed

Date of Birth not know ca 1852

Age (year, month, days) abt 60

Occupation or Employer Barber

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Father's Name Not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Emma Philips; 11 S 4th St

Date of Death 2/20/1913

Cause of Death and Time Attended by Doctor found dead on arrival

Immediate, Secondary, or Contributory Cause and How Long from history of case - acute indigestion; abt 2 hrs

Physician and Address WJ Barkley; 208 N 4th St.

Burial Place, Date, Undertaker, and Address Lawsonia; 2/22/1913; R J. Adams; Crisfield, Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Salisbury, Mrs. Mary

Place of Death Somerset

Town of Death Lawsonia

Age (year, month, days) abt 65

Occupation or Employer domestic

Date of Death 3/26/1913

Cause of Death and Time Attended by Doctor paralysis - hemiplegina; 6 ds

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Page (PDF) 55

Certificate Number 3910

Name of Deceased Salisbury, Mrs. Mary

Place of Death Somerset

Town of Death Lawsonia

Sex F

Race Negro

Married, Widowed, or Single widowed

Date of Birth not known

Age (year, month, days) abt 65

Occupation or Employer domestic

Birthplace Md

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Mrs. Mary Clayton; Fairmount Md

Date of Death 3/26/1913

Cause of Death and Time Attended by Doctor paralysis - hemiplegina; 6 ds

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address WJ Barkaley

Burial Place, Date, Undertaker, and Address Lawsonia; 3/28/1913; AJ Addams; Crisfield

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased unknown

Place of Death Wicomico

Town of Death Salisbury No 5 Parsons Dist

Age (year, month, days) abt 35 yrs

Occupation or Employer tramp

Date of Death 3/25/1913

Cause of Death and Time Attended by Doctor jumped from moving passenger train & was illed by striking ground

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Page (PDF) 73

Certificate Number 4044

Name of Deceased unknown

Place of Death Wicomico

Town of Death Salisbury No 5 Parsons Dist

Sex M

Race colored

Married, Widowed, or Single -

Date of Birth x

Age (year, month, days) abt 35 yrs

Occupation or Employer tramp

Birthplace not known

Father's Name not known

Father's Birthplace unknown

Mother's Name unknown

Mother's Birthplace -

Informant (Relationship and Address) Edward G Mills F.P. Salsbiry md

Date of Death 3/25/1913

Cause of Death and Time Attended by Doctor jumped from moving passenger train & was illed by striking ground

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Henry Wailes; Salisbury Md

Burial Place, Date, Undertaker, and Address Salisbury Md Potters Field; 3/25/1913; Geo C. Hill; Salisbury

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased [Waller] not named [child of Maggie]

Place of Death Wicomico

Town of Death near Mardela Springs

Age (year, month, days) 1 ds

Occupation or Employer -

Date of Death 3/9/1913

Cause of Death and Time Attended by Doctor still born

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Page (PDF) 77

Certificate Number 4046

Name of Deceased [Waller] not named [child of Maggie]

Place of Death Wicomico

Town of Death near Mardela Springs

Sex M

Race Black

Married, Widowed, or Single single

Date of Birth 3/9/1913

Age (year, month, days) 1 ds

Occupation or Employer -

Birthplace Wicomico

Father's Name Not known

Father's Birthplace not known

Mother's Name Maggie Waller

Mother's Birthplace Wicomico

Informant (Relationship and Address) John Waller; Mardela Sprgs

Date of Death 3/9/1913

Cause of Death and Time Attended by Doctor still born

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Geo W. Betson Jr; Mardela

Burial Place, Date, Undertaker, and Address near Mardela; no date; AL Seabrease; Mardela Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Sterling, Mr. George Washington

Place of Death Somerset

Town of Death Lawsonia Md

Age (year, month, days) abt 66

Occupation or Employer farmer

Date of Death 5/30/1913

Cause of Death and Time Attended by Doctor anemia of unknown origina acut 8 mos

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Page (PDF) 43

Certificate Number 6856

Name of Deceased Sterling, Mr. George Washington

Place of Death Somerset

Town of Death Lawsonia Md

Sex M

Race negro

Married, Widowed, or Single married

Date of Birth not known

Age (year, month, days) abt 66

Occupation or Employer farmer

Birthplace Lawsonia Md

Father's Name not known

Father's Birthplace Md

Mother's Name not known

Mother's Birthplace Md

Informant (Relationship and Address) Clarence Sterling; Lawsonia Md

Date of Death 5/30/1913

Cause of Death and Time Attended by Doctor anemia of unknown origina acut 8 mos

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Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Williams, Mrs. Annie

Place of Death Somerset

Town of Death Crisfield

Age (year, month, days) abt 27

Occupation or Employer domesetic work

Date of Death 5/9/1913

Cause of Death and Time Attended by Doctor acute indigestion; 3 hours

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Page (PDF) 61

Certificate Number 6865

Name of Deceased Williams, Mrs. Annie

Place of Death Somerset

Town of Death Crisfield

Sex F

Race Negro

Married, Widowed, or Single married

Date of Birth 1886

Age (year, month, days) abt 27

Occupation or Employer domesetic work

Birthplace VA

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Henry Robison; Back st.

Date of Death 5/9/1913

Cause of Death and Time Attended by Doctor acute indigestion; 3 hours

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address WJ Barkley; 309 W Md Ave

Burial Place, Date, Undertaker, and Address Lawsonia; 5/9/1913; RJ Adams; Crisfield

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Dashiell, Ann

Place of Death Wicomico

Town of Death Salisbury #5 Parson Dist

Age (year, month, days) abt 65

Occupation or Employer at home

Date of Death 9/8/1913

Cause of Death and Time Attended by Doctor haemaplagia from cerebral haemmohage; 6 ds

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Page (PDF) 9

Certificate Number 12846

Name of Deceased Dashiell, Ann

Place of Death Wicomico

Town of Death Salisbury #5 Parson Dist

Sex F

Race colored

Married, Widowed, or Single widow

Date of Birth -

Age (year, month, days) abt 65

Occupation or Employer at home

Birthplace Wicomico

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Geo W Leatherbury; 603 Poplar Hill Ave Salisbury Md

Date of Death 9/8/1913

Cause of Death and Time Attended by Doctor haemaplagia from cerebral haemmohage; 6 ds

Immediate, Secondary, or Contributory Cause and How Long nephritis & endocarditis

Physician and Address J W Roberts; Salisbury md

Burial Place, Date, Undertaker, and Address Salisbury Md; 9/10/1913; Geor C Hill; Salisbury Md

Length of Residence, Where Disease Contracted, Former Residence 65 yrs at home Salisbury

Other Notes –

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Name of Deceased Slemons; Henry

Place of Death Somerset

Town of Death Princess Anne

Age (year, month, days) abt 85 yrs

Occupation or Employer laborer

Date of Death 12/6/1913

Cause of Death and Time Attended by Doctor broncho pneumonia; 4 ds

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Page (PDF) 41

Certificate Number 17239

Name of Deceased Slemons; Henry

Place of Death Somerset

Town of Death Princess Anne

Sex M

Race colored

Married, Widowed, or Single widowed

Date of Birth abt 1828

Age (year, month, days) abt 85 yrs

Occupation or Employer laborer

Birthplace not known

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Anne Dennis; Princess Anne Md

Date of Death 12/6/1913

Cause of Death and Time Attended by Doctor broncho pneumonia; 4 ds

Immediate, Secondary, or Contributory Cause and How Long cerebral hemorrhage; 10 ds

Physician and Address Avery M Lankford; Princess Anne

Burial Place, Date, Undertaker, and Address Princess Anne; 12/7/1913; WM James; Princess Anne Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Stevenson, Joseph

Place of Death Somerset

Town of Death Princess Anne

Age (year, month, days) 60

Occupation or Employer laborer

Date of Death 12/18/1913

Cause of Death and Time Attended by Doctor chronic nephritis

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Page (PDF) 47

Certificate Number 17242

Name of Deceased Stevenson, Joseph

Place of Death Somerset

Town of Death Princess Anne

Sex M

Race colored

Married, Widowed, or Single widowed

Date of Birth not known

Age (year, month, days) 60

Occupation or Employer laborer

Birthplace Maryland

Father's Name not known

Father's Birthplace not known

Mother's Name Mary (not known)

Mother's Birthplace not known

Informant (Relationship and Address) Moses Stephenson; Princess Anne

Date of Death 12/18/1913

Cause of Death and Time Attended by Doctor chronic nephritis

Immediate, Secondary, or Contributory Cause and How Long don't know

Physician and Address Catherin F Lankford; 12/1913; Princess Anne

Burial Place, Date, Undertaker, and Address ..?; 12/21/1913; Wm Jones; P Anne, Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Register, Gladys

Place of Death Wicomico

Town of Death Salisbury; 903 Delaware

Age (year, month, days) 1 yrs 9 mos

Occupation or Employer -

Date of Death 3/2/1914

Cause of Death and Time Attended by Doctor no doctore; probably pneumonia

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Page (PDF) 59

Certificate Number 3268

Name of Deceased Register, Gladys

Place of Death Wicomico

Town of Death Salisbury; 903 Delaware

Sex F

Race AA

Married, Widowed, or Single single

Date of Birth 6/16/1912

Age (year, month, days) 1 yrs 9 mos

Occupation or Employer -

Birthplace Maryland

Father's Name not known

Father's Birthplace Maryland

Mother's Name Lucy Register

Mother's Birthplace unknown

Informant (Relationship and Address) Edward Deshield; 903 Delaware St

Date of Death 3/2/1914

Cause of Death and Time Attended by Doctor no doctore; probably pneumonia

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address CR Truitt; Salisbury Md

Burial Place, Date, Undertaker, and Address Salisbury Cemetery; 3/4/1914; JF Stewart; Salisbury

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Roberts, Foster

Place of Death Wicomico

Town of Death Fruitland

Age (year, month, days) 1 yrs

Occupation or Employer none

Date of Death 4/13/1914

Cause of Death and Time Attended by Doctor broncho; pneumonia

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Page (PDF) 59

Certificate Number 4321

Name of Deceased Roberts, Foster

Place of Death Wicomico

Town of Death Fruitland

Sex M

Race black

Married, Widowed, or Single single

Date of Birth don't know

Age (year, month, days) 1 yrs

Occupation or Employer none

Birthplace Laurel Del

Father's Name not known

Father's Birthplace Cora Roberts

Mother's Name Somerset Co

Mother's Birthplace Somerset

Informant (Relationship and Address) Joshua Leatherbury; Fruitland, Md

Date of Death 4/13/1914

Cause of Death and Time Attended by Doctor broncho; pneumonia

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Jos L McLaughlin; Fruitland, Md

Burial Place, Date, Undertaker, and Address Fruitland Md; 4/13/1914; Geo C Hill; Salisbury Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Collins, Geo T

Place of Death Worcester

Town of Death Showell RFD

Age (year, month, days) 4 mos 4 ds

Occupation or Employer -

Date of Death 7/12/1914

Cause of Death and Time Attended by Doctor ? Colitis; 3 ds

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Page (PDF) 21

Certificate Number 7243

Name of Deceased Collins, Geo T

Place of Death Worcester

Town of Death Showell RFD

Sex M

Race col

Married, Widowed, or Single -

Date of Birth 2/9/1914

Age (year, month, days) 4 mos 4 ds

Occupation or Employer -

Birthplace Md

Father's Name not known

Father's Birthplace not known

Mother's Name Mary Brittingham

Mother's Birthplace Md

Informant (Relationship and Address) Leven Brittingham; Showell

Date of Death 7/12/1914

Cause of Death and Time Attended by Doctor ? Colitis; 3 ds

Immediate, Secondary, or Contributory Cause and How Long marasmus; 4 mos

Physician and Address JR Bishop; Showell

Burial Place, Date, Undertaker, and Address St Ppauls Cemetery; 7/13/1914; JW Burbage; Berlin

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Starcky, Mr Edward

Place of Death Somerset

Town of Death Lawsonia

Age (year, month, days) 41 yrs 10 mos 16 ds

Occupation or Employer sailor

Date of Death 8/15/1914

Cause of Death and Time Attended by Doctor tuberculosis of lungs; abt 5 mo

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Page (PDF) 75

Certificate Number 8154

Name of Deceased Starcky, Mr Edward

Place of Death Somerset

Town of Death Lawsonia

Sex M

Race negro

Married, Widowed, or Single married

Date of Birth 10/29/1872

Age (year, month, days) 41 yrs 10 mos 16 ds

Occupation or Employer sailor

Birthplace N. Carolina

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace unknown

Informant (Relationship and Address) unknown

Date of Death 8/15/1914

Cause of Death and Time Attended by Doctor tuberculosis of lungs; abt 5 mo

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address WJ Barkley; 309 W Md Ave

Burial Place, Date, Undertaker, and Address Asbury colored cemetery; 8/20/1914; IA Lawson; Crisfield

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Franklin, Heny

Place of Death Worcester

Town of Death Berlin

Age (year, month, days) 85 yrs

Occupation or Employer –

Date of Death 8/15/1814

Cause of Death and Time Attended by Doctor aortic insuffiency; unknown

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Page (PDF) 25

Certificate Number 8349

Name of Deceased Franklin, Heny

Place of Death Worcester

Town of Death Berlin

Sex F

Race col

Married, Widowed, or Single widow

Date of Birth 1829

Age (year, month, days) 85 yrs

Occupation or Employer –

Birthplace Md

Father's Name not known

Father's Birthplace Md

Mother's Name Liddie Fassett

Mother's Birthplace Md

Informant (Relationship and Address) Wm Franklin; Berlin

Date of Death 8/15/1814

Cause of Death and Time Attended by Doctor aortic insuffiency; unknown

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Ira C Tyndall; Berlin

Burial Place, Date, Undertaker, and Address ST Pauls Cemetery; 8/20/1914; JW Brubage & Bros; Berlin

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Gosten, --ett?

Place of Death Somerset

Town of Death Marion

Age (year, month, days) 53 yrs 5 mos 23 ds

Occupation or Employer laborer

Date of Death 9/13/1914

Cause of Death and Time Attended by Doctor chronic myoenditro, nephritis; arterio sclerosis; cardiac exhaustion

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Page (PDF) 11

Certificate Number 9240

Name of Deceased Gosten, --ett?

Place of Death Somerset

Town of Death Marion

Sex M

Race col

Married, Widowed, or Single widower

Date of Birth 3/20/1861

Age (year, month, days) 53 yrs 5 mos 23 ds

Occupation or Employer laborer

Birthplace Richmond VA

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Thomas Davis; Marion Md

Date of Death 9/13/1914

Cause of Death and Time Attended by Doctor chronic myoenditro, nephritis; arterio sclerosis; cardiac exhaustion

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address George C Coulbourn; Marin

Burial Place, Date, Undertaker, and Address Mt Pier; 9/15/1914; AW Dixon; Marion

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Henry, Morrice R

Place of Death Wicomico

Town of Death Salisbury #311 Water St

Age (year, month, days) 1 yrs 6 mos 30 ds

Occupation or Employer not any

Date of Death 10/22/1914

Cause of Death and Time Attended by Doctor Heredity Syphilis; 6 mos 23 ds

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Page (PDF) 27

Certificate Number 10385

Name of Deceased Henry, Morrice R

Place of Death Wicomico

Town of Death Salisbury #311 Water St

Sex M

Race Aa

Married, Widowed, or Single single

Date of Birth 3/29/1913

Age (year, month, days) 1 yrs 6 mos 30 ds

Occupation or Employer not any

Birthplace Maryland

Father's Name not known

Father's Birthplace Maryland

Mother's Name Edna e Henry

Mother's Birthplace Maryland

Informant (Relationship and Address) Mary E Henry; Salisbury Md

Date of Death 10/22/1914

Cause of Death and Time Attended by Doctor Heredity Syphilis; 6 mos 23 ds

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address JW Roberts; Salisbury Md

Burial Place, Date, Undertaker, and Address Houston Cemetery; 10/23/1914; JF Stewart; Salisbury Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Jones, Cynthia

Place of Death Somerset

Town of Death Princess Anne

Age (year, month, days) 30 yrs

Occupation or Employer housewife

Date of Death 4/28/1915

Cause of Death and Time Attended by Doctor pulmonary tuberculosis; 5 yrs

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Page (PDF) 25

Certificate Number 5698

Name of Deceased Jones, Cynthia

Place of Death Somerset

Town of Death Princess Anne

Sex F

Race colored

Married, Widowed, or Single married

Date of Birth 1885

Age (year, month, days) 30 yrs

Occupation or Employer housewife

Birthplace Maryland

Father's Name not known

Father's Birthplace not known

Mother's Name Martha Brittingham

Mother's Birthplace Maryland

Informant (Relationship and Address) Holloway Jacson; Princess Anne Md

Date of Death 4/28/1915

Cause of Death and Time Attended by Doctor pulmonary tuberculosis; 5 yrs

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Strury M Lankford; Princess Anne

Burial Place, Date, Undertaker, and Address Habnab; 4/29/1915; Wm James; Pr Anne

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Bowen, Comfort

Place of Death Worcester

Town of Death Berlin

Age (year, month, days) 51 yrs

Occupation or Employer housewife

Date of Death 4/7/1915

Cause of Death and Time Attended by Doctor cardiac dropsy

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Page (PDF) 3

Certificate Number 5914

Name of Deceased Bowen, Comfort

Place of Death Worcester

Town of Death Berlin

Sex F

Race colored

Married, Widowed, or Single married

Date of Birth abt 1863

Age (year, month, days) 51 yrs

Occupation or Employer housewife

Birthplace Maryland

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace Maryland

Informant (Relationship and Address) Joseph Bowen; Berlin Md

Date of Death 4/7/1915

Cause of Death and Time Attended by Doctor cardiac dropsy

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Charles R Lous?; Berlin Md

Burial Place, Date, Undertaker, and Address St Pauls Cemetery; 4/3/1915; JW Burbage & Bros; Berlin Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Dashiell, Frank T

Place of Death Somerset

Town of Death near Westover

Age (year, month, days) 74 yrs 1 mos 1 ds

Occupation or Employer farmer

Date of Death 3/27/1916

Cause of Death and Time Attended by Doctor cerebral haemorrhage 4 ds

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Page (PDF) 15

Certificate Number 3989

Name of Deceased Dashiell, Frank T

Place of Death Somerset

Town of Death near Westover

Sex M

Race colored

Married, Widowed, or Single married

Date of Birth 1845

Age (year, month, days) 74 yrs 1 mos 1 ds

Occupation or Employer farmer

Birthplace Maryland

Father's Name not known

Father's Birthplace not known

Mother's Name Ailsa Wilson

Mother's Birthplace Maryland

Informant (Relationship and Address) Geo T Ballard; Westover Md

Date of Death 3/27/1916

Cause of Death and Time Attended by Doctor cerebral haemorrhage 4 ds

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Avery M Lankford; Princess Anne

Burial Place, Date, Undertaker, and Address Curtis; 3/24/1916; Jas I Dennis; Pr Anne

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Ritts, Laura E

Place of Death Worcester

Town of Death Berlin RFD

Age (year, month, days) 57 yrs

Occupation or Employer housekeepng

Date of Death 3/28/1916

Cause of Death and Time Attended by Doctor apoplexy cerebral

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Page (PDF) 47

Certificate Number 4267

Name of Deceased Ritts, Laura E

Place of Death Worcester

Town of Death Berlin RFD

Sex F

Race col

Married, Widowed, or Single married

Date of Birth 1859

Age (year, month, days) 57 yrs

Occupation or Employer housekeepng

Birthplace Md

Father's Name not known

Father's Birthplace Md

Mother's Name Roda Handy

Mother's Birthplace Md

Informant (Relationship and Address) Eben E Pitts; Berlin

Date of Death 3/28/1916

Cause of Death and Time Attended by Doctor apoplexy cerebral

Immediate, Secondary, or Contributory Cause and How Long gastritis chronic

Physician and Address HS Purnell; Berlin

Burial Place, Date, Undertaker, and Address Germantown Cemetery; 3/30/196; J W Burbage & Bro; Berlin

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Smack, Cummings

Place of Death Worcester

Town of Death Berlin

Age (year, month, days) 20 yrs 10 mos 12 ds

Occupation or Employer day laborer

Date of Death 3/13/1916

Cause of Death and Time Attended by Doctor parenchymatous degeration of the heart following typhoid years

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Page (PDF) 59

Certificate Number 4273

Name of Deceased Smack, Cummings

Place of Death Worcester

Town of Death Berlin

Sex M

Race col

Married, Widowed, or Single single

Date of Birth 5/1/1895

Age (year, month, days) 20 yrs 10 mos 12 ds

Occupation or Employer day laborer

Birthplace Md

Father's Name not known

Father's Birthplace x

Mother's Name Charlotte Smack

Mother's Birthplace Md

Informant (Relationship and Address) Lillian Dirickson; Berlin

Date of Death 3/13/1916

Cause of Death and Time Attended by Doctor parenchymatous degeration of the heart following typhoid years

Immediate, Secondary, or Contributory Cause and How Long typhoid

Physician and Address HL ?; Berlin

Burial Place, Date, Undertaker, and Address St pauls Cemetery; 3/15/1916; JW Burbage & Bros Berlin

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Rider, Edward

Place of Death Wicomico

Town of Death Quantico

Age (year, month, days) 30 yrs

Occupation or Employer sailor

Date of Death 4/2/1916

Cause of Death and Time Attended by Doctor alleged accidental drowning

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Page (PDF) 77

Certificate Number 5618

Name of Deceased Rider, Edward

Place of Death Wicomico

Town of Death Quantico

Sex M

Race negro

Married, Widowed, or Single married

Date of Birth not known

Age (year, month, days) 30 yrs

Occupation or Employer sailor

Birthplace Md

Father's Name not known

Father's Birthplace not known

Mother's Name Elle Morra

Mother's Birthplace Md

Informant (Relationship and Address) Jean Church; Quantico

Date of Death 4/2/1916

Cause of Death and Time Attended by Doctor alleged accidental drowning

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address JA MacIntosh; registrar; Quantico

Burial Place, Date, Undertaker, and Address Quantico; 4/3/1916; James Jones; Quantico

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes accident

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Name of Deceased Taylor, Lloyd

Place of Death Somerset

Town of Death Princess Anne

Age (year, month, days) not known

Occupation or Employer labour

Date of Death 5/1/1916

Cause of Death and Time Attended by Doctor chronic nephritis; 1 mos

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Page (PDF) 59

Certificate Number 6858

Name of Deceased Taylor, Lloyd

Place of Death Somerset

Town of Death Princess Anne

Sex M

Race colored

Married, Widowed, or Single married

Date of Birth not known

Age (year, month, days) not known

Occupation or Employer labour

Birthplace Virginia

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) J I Dennis;Princess Anne

Date of Death 5/1/1916

Cause of Death and Time Attended by Doctor chronic nephritis; 1 mos

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Henry M Lankford, Princess Anne

Burial Place, Date, Undertaker, and Address Pr Anne; 5/3/1916; James I Dennis; Pr Anne

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Harrard, Sally

Place of Death Wicomico

Town of Death Salisbury; PG Hosp.

Age (year, month, days) 26 yrs

Occupation or Employer not known

Date of Death 9/24/1916

Cause of Death and Time Attended by Doctor typhoid fever

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Page (PDF) 39

Certificate Number 13582

Name of Deceased Harrard, Sally

Place of Death Wicomico

Town of Death Salisbury; PG Hosp.

Sex F

Race black

Married, Widowed, or Single single

Date of Birth 1890

Age (year, month, days) 26 yrs

Occupation or Employer not known

Birthplace North Carolina

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Miss C J Fox; Salisbury, Md

Date of Death 9/24/1916

Cause of Death and Time Attended by Doctor typhoid fever

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address JMF Dick; Salisbury

Burial Place, Date, Undertaker, and Address Potters' Field; Salisbury Md; 9/26/1916; Hill & Johnson Co; Salisbury, Md

Length of Residence, Where Disease Contracted, Former Residence 11 ds; contracted Pocomoke?; former residence N Carolina

Other Notes –

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Name of Deceased Dennis, John

Place of Death Somerset

Town of Death Westover RFD

Age (year, month, days) abt 65

Occupation or Employer farmer

Date of Death 10/9/1916

Cause of Death and Time Attended by Doctor acute debilitaion? Of heart

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Page (PDF) 11

Certificate Number 15873

Name of Deceased Dennis, John

Place of Death Somerset

Town of Death Westover RFD

Sex M

Race col

Married, Widowed, or Single married

Date of Birth not known

Age (year, month, days) abt 65

Occupation or Employer farmer

Birthplace Somerset

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) John Dennis Jr; Westover RFD

Date of Death 10/9/1916

Cause of Death and Time Attended by Doctor acute debilitaion? Of heart

Immediate, Secondary, or Contributory Cause and How Long chronic intestinal nephritis; myocarditis

Physician and Address George C Coulbourn; Marion md

Burial Place, Date, Undertaker, and Address Ebenezer; 10/11/1916; Tilghman Ward; Marion

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Mitchell, baby

Place of Death Wicomico

Town of Death Quantico

Age (year, month, days) 2 mos 27 ds

Occupation or Employer none

Date of Death 11/21/1916

Cause of Death and Time Attended by Doctor no medical attention; alleged strangulation

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Page (PDF) 47

Certificate Number 19072

Name of Deceased Mitchell, baby

Place of Death Wicomico

Town of Death Quantico

Sex F

Race negro

Married, Widowed, or Single single

Date of Birth 8/24/1916

Age (year, month, days) 2 mos 27 ds

Occupation or Employer none

Birthplace Md

Father's Name not known

Father's Birthplace not known

Mother's Name Ovella Mitchell

Mother's Birthplace Md

Informant (Relationship and Address) Chas A Mitchell; Quantico

Date of Death 11/21/1916

Cause of Death and Time Attended by Doctor no medical attention; alleged strangulation

Immediate, Secondary, or Contributory Cause and How Long child choked on milk from nursing bottle

Physician and Address JA Mackintosh; Quantico

Burial Place, Date, Undertaker, and Address x

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Johnson, Leah

Place of Death Somerset

Town of Death near Princess Anne

Age (year, month, days) not known abt 85 yrs

Occupation or Employer housewife

Date of Death 1/30/1917

Cause of Death and Time Attended by Doctor saw her once & could make out no particular disease; senility

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Page (PDF) 39

Certificate Number 1110

Name of Deceased Johnson, Leah

Place of Death Somerset

Town of Death near Princess Anne

Sex F

Race colored

Married, Widowed, or Single single

Date of Birth unknown

Age (year, month, days) not known abt 85 yrs

Occupation or Employer housewife

Birthplace not known

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Milton Wilson; Princess Anne Md

Date of Death 1/30/1917

Cause of Death and Time Attended by Doctor saw her once & could make out no particular disease; senility

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Henry M Lankford; Princess Anne

Burial Place, Date, Undertaker, and Address near P Anne; 1/31/1917; Wm James; Pr Anne

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Purnell, Frank

Place of Death Wicomico

Town of Death Salisbury; PG Hospital

Age (year, month, days) abt 65

Occupation or Employer cook in hotel

Date of Death 3/1/1917

Cause of Death and Time Attended by Doctor chronic intestinal nephritis; unknown

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Page (PDF) 89

Certificate Number 4882

Name of Deceased Purnell, Frank

Place of Death Wicomico

Town of Death Salisbury; PG Hospital

Sex M

Race col

Married, Widowed, or Single widowed

Date of Birth 1/25/1905

Age (year, month, days) abt 65

Occupation or Employer cook in hotel

Birthplace not known

Father's Name not known

Father's Birthplace Md

Mother's Name not known

Mother's Birthplace Md

Informant (Relationship and Address) Earnest Purnell; Berlin, Md

Date of Death 3/1/1917

Cause of Death and Time Attended by Doctor chronic intestinal nephritis; unknown

Immediate, Secondary, or Contributory Cause and How Long pulmonary oedema; 1 ds

Physician and Address JMcF Dick; Salisbury Md

Burial Place, Date, Undertaker, and Address Germantown Cemetery; 3/3/1917; JW Burbage & co; Berlin, Md

Length of Residence, Where Disease Contracted, Former Residence 12 ds; lifetime Berlin

Other Notes –

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Name of Deceased Brittingham, Bessie

Place of Death Worcester

Town of Death Berlin

Age (year, month, days) 15 yrs

Occupation or Employer house work

Date of Death 4/28/1917

Cause of Death and Time Attended by Doctor broncho pneumonia; 18 ds

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Page (PDF) 7

Certificate Number 6820

Name of Deceased Brittingham, Bessie

Place of Death Worcester

Town of Death Berlin

Sex F

Race col

Married, Widowed, or Single single

Date of Birth 3/16/1905

Age (year, month, days) 15 yrs

Occupation or Employer house work

Birthplace Md

Father's Name not known

Father's Birthplace Md

Mother's Name Jula James

Mother's Birthplace Md

Informant (Relationship and Address) Geo Brittingham; Berlin

Date of Death 4/28/1917

Cause of Death and Time Attended by Doctor broncho pneumonia; 18 ds

Immediate, Secondary, or Contributory Cause and How Long mitral ; 3 yrs

Physician and Address JR Bishop; Showell Md

Burial Place, Date, Undertaker, and Address St Pauls Cemetery; 4/29/1917; JW Burbage & Bros.; Berlin Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Dennis, Mary

Place of Death Somerset

Town of Death near Parsonsville

Age (year, month, days) 75 yrs

Occupation or Employer house wife

Date of Death 7/20/1917

Cause of Death and Time Attended by Doctor accidental drowning

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Page (PDF) 29

Certificate Number 11930

Name of Deceased Dennis, Mary

Place of Death Somerset

Town of Death near Parsonsville

Sex F

Race black

Married, Widowed, or Single widowed

Date of Birth not known

Age (year, month, days) 75 yrs

Occupation or Employer house wife

Birthplace Somerset

Father's Name not known

Father's Birthplace x

Mother's Name Hester Holland

Mother's Birthplace Somerset

Informant (Relationship and Address) M L Brown?; Crisfield Md

Date of Death 7/20/1917

Cause of Death and Time Attended by Doctor accidental drowning

Immediate, Secondary, or Contributory Cause and How Long insanity?; 2 mos

Physician and Address JF Somers; Crisfield Md

Burial Place, Date, Undertaker, and Address St Pauls; 7/22/1917; Tilghman- Ward; Marion

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Whittngton, Hester

Place of Death Somerset

Town of Death Marion

Age (year, month, days) abt 95 yrs

Occupation or Employer h work

Date of Death 7/22/1917

Cause of Death and Time Attended by Doctor cardiac exhaustion, debility, chronic myocarditis, chronic nephritis

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Page (PDF) 93

Certificate Number 11962

Name of Deceased Whittngton, Hester

Place of Death Somerset

Town of Death Marion

Sex F

Race col

Married, Widowed, or Single widowed

Date of Birth not known

Age (year, month, days) abt 95 yrs

Occupation or Employer h work

Birthplace Balto Md

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Danl? Whittington; Marion Md

Date of Death 7/22/1917

Cause of Death and Time Attended by Doctor cardiac exhaustion, debility, chronic myocarditis, chronic nephritis

Immediate, Secondary, or Contributory Cause and How Long general arterio sclerosis; myocarditis nephritis; 4 yrs

Physician and Address George C Coulbourn; Marion

Burial Place, Date, Undertaker, and Address Mt Pier; 7/24/1917; Tilghman & Ward; Marion

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Bagwell, Ephriam

Place of Death Wicomico

Town of Death Salisbury; PG Hospital

Age (year, month, days) abt 48

Occupation or Employer laborer; railroading

Date of Death 9/17/1917

Cause of Death and Time Attended by Doctor shock following crushed? By him in RR Accident; 18 hrs

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Page (PDF) 3

Certificate Number 16554

Name of Deceased Bagwell, Ephriam

Place of Death Wicomico

Town of Death Salisbury; PG Hospital

Sex M

Race colored

Married, Widowed, or Single single

Date of Birth x

Age (year, month, days) abt 48

Occupation or Employer laborer; railroading

Birthplace Virginia

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Superindendant Hospital; Salisbury

Date of Death 9/17/1917

Cause of Death and Time Attended by Doctor shock following crushed? By him in RR Accident; 18 hrs

Immediate, Secondary, or Contributory Cause and How Long shock; 18 hrs

Physician and Address HA Wailes; Salisbury

Burial Place, Date, Undertaker, and Address shipped to Melfa Va; don't know; Hill & Johnson Co; Salisbury

Length of Residence, Where Disease Contracted, Former Residence 1 ds; residence Melfa VA

Other Notes –

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Name of Deceased Ryder, [no name]

Place of Death Wicomico

Town of Death Quantico

Age (year, month, days) 10 hrs

Occupation or Employer none

Date of Death 12/1/1917

Cause of Death and Time Attended by Doctor no medical attention

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Page (PDF) 43

Certificate Number 36074

Name of Deceased Ryder, [no name]

Place of Death Wicomico

Town of Death Quantico

Sex M

Race negro

Married, Widowed, or Single single

Date of Birth 12/1/1917

Age (year, month, days) 10 hrs

Occupation or Employer none

Birthplace Md

Father's Name not known

Father's Birthplace not known

Mother's Name Mary Ryder

Mother's Birthplace Md

Informant (Relationship and Address) Elizabeth Pinkett; Quantico Md

Date of Death 12/1/1917

Cause of Death and Time Attended by Doctor no medical attention

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address JA Mackintosh; registrar; Quantico

Burial Place, Date, Undertaker, and Address Quantico; 12/2/1917; none/x

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Dashiell, William

Place of Death Wicomico

Town of Death near Quantico; Alms House

Age (year, month, days) abt 75 yrs

Occupation or Employer laborer

Date of Death 1/12/1918

Cause of Death and Time Attended by Doctor .?; since 10/5/1917

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Page (PDF) 25

Certificate Number 1335

Name of Deceased Dashiell, William

Place of Death Wicomico

Town of Death near Quantico; Alms House

Sex M

Race black

Married, Widowed, or Single widower

Date of Birth no record

Age (year, month, days) abt 75 yrs

Occupation or Employer laborer

Birthplace Maryland

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) AW Phippin; Salisbury md Rt 1

Date of Death 1/12/1918

Cause of Death and Time Attended by Doctor .?; since 10/5/1917

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address WC Wailes; Salisbury

Burial Place, Date, Undertaker, and Address near Allen; 1/14/1918; Hiss & Johnson Co; Salisbury

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Tingle, Ethel

Place of Death Worcester

Town of Death Berlin

Age (year, month, days) 5 yrs 8 mos 1 ds

Occupation or Employer x

Date of Death 5/6/1918

Cause of Death and Time Attended by Doctor enteritis

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Page (PDF) 59

Certificate Number 10160

Name of Deceased Tingle, Ethel

Place of Death Worcester

Town of Death Berlin

Sex F

Race col

Married, Widowed, or Single x

Date of Birth 9/5/1912

Age (year, month, days) 5 yrs 8 mos 1 ds

Occupation or Employer x

Birthplace Maryland

Father's Name not known

Father's Birthplace x

Mother's Name Emma Tingle

Mother's Birthplace Md

Informant (Relationship and Address) Charley Purnell; Berlin

Date of Death 5/6/1918

Cause of Death and Time Attended by Doctor enteritis

Immediate, Secondary, or Contributory Cause and How Long int worms

Physician and Address Chas R Law; Berlin

Burial Place, Date, Undertaker, and Address Germantown Cemetery; 5/7/1918; JW Burbage Br; Berlin

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Stokeley; Celia Dennis

Place of Death Somerset

Town of Death Marumsco

Age (year, month, days) don't know

Occupation or Employer HW

Date of Death 7/25/1918

Cause of Death and Time Attended by Doctor Dilation of heart, 4 years

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Page (PDF) 45

Certificate Number 13840

Name of Deceased Stokeley; Celia Dennis

Place of Death Somerset

Town of Death Marumsco

Sex F

Race col

Married, Widowed, or Single widowed

Date of Birth don't know

Age (year, month, days) don't know

Occupation or Employer HW

Birthplace Worcester

Father's Name not known

Father's Birthplace x

Mother's Name not known

Mother's Birthplace x

Informant (Relationship and Address) Will Milbourn; Marumsco

Date of Death 7/25/1918

Cause of Death and Time Attended by Doctor Dilation of heart, 4 years

Immediate, Secondary, or Contributory Cause and How Long chronic myocorditis mylentis; genral arterio sclerosis

Physician and Address Geo C Coulbourn

Burial Place, Date, Undertaker, and Address Marumso; 7/27/1918; Ward & Tilghman; Marion

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Denniss, Spence

Place of Death Somerset

Town of Death Marion

Age (year, month, days) abt 80 yrs

Occupation or Employer laborer

Date of Death 1/19?/1920

Cause of Death and Time Attended by Doctor found dead; no dr in attendence; myocarditis

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Page (PDF) 13

Certificate Number 840

Name of Deceased Denniss, Spence

Place of Death Somerset

Town of Death Marion

Sex M

Race col

Married, Widowed, or Single married

Date of Birth not known

Age (year, month, days) abt 80 yrs

Occupation or Employer laborer

Birthplace not known

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) x;x

Date of Death 1/19?/1920

Cause of Death and Time Attended by Doctor found dead; no dr in attendence; myocarditis

Immediate, Secondary, or Contributory Cause and How Long general artero sclerosis

Physician and Address George C Coulbourn; Marion Md

Burial Place, Date, Undertaker, and Address Ebenezer ME Church; 1/21/1920; AW Dixon; Marion

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Church, Mary

Place of Death Somerset

Town of Death Marion

Age (year, month, days) abt 70 ys

Occupation or Employer hw

Date of Death 3/5/1920

Cause of Death and Time Attended by Doctor acute dil of heart; cerebral hemorrage; 4 ds

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Page (PDF) 15

Certificate Number 5359

Name of Deceased Church, Mary

Place of Death Somerset

Town of Death Marion

Sex F

Race col

Married, Widowed, or Single widowed

Date of Birth not known

Age (year, month, days) abt 70 ys

Occupation or Employer hw

Birthplace Delaware

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Elick Church; Marion Md

Date of Death 3/5/1920

Cause of Death and Time Attended by Doctor acute dil of heart; cerebral hemorrage; 4 ds

Immediate, Secondary, or Contributory Cause and How Long chronic int nephritis myocorditis; general arterio sclerosis

Physician and Address George C Coulbourn; Marion Md

Burial Place, Date, Undertaker, and Address Marumsco ME Church; 3/6/1920; AW Dixon; Marion Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Wise, Lucretia

Place of Death Somerset

Town of Death Princess Anne

Age (year, month, days) 65 yrs

Occupation or Employer house wife

Date of Death 7/21/1921

Cause of Death and Time Attended by Doctor cerebral haemorrhage; 9 ds

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Page (PDF) 85

Certificate Number 11368

Name of Deceased Wise, Lucretia

Place of Death Somerset

Town of Death Princess Anne

Sex F

Race colored

Married, Widowed, or Single married

Date of Birth 1856

Age (year, month, days) 65 yrs

Occupation or Employer house wife

Birthplace Maryland

Father's Name not known

Father's Birthplace not known

Mother's Name Mary Renshaw

Mother's Birthplace Maryland

Informant (Relationship and Address) Dennis Wise; Princess Anne, md

Date of Death 7/21/1921

Cause of Death and Time Attended by Doctor cerebral haemorrhage; 9 ds

Immediate, Secondary, or Contributory Cause and How Long chronic nephritis

Physician and Address Henry M Lankford; Princess Anne

Burial Place, Date, Undertaker, and Address Princess Anne Md; 7/21/1921; James I Dennis; Pr Anne Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Baily, John H

Place of Death Worcester

Town of Death nr Pocomoke

Age (year, month, days) 65 yrs

Occupation or Employer farmer

Date of Death 1/30/1922

Cause of Death and Time Attended by Doctor myocardio insufiency; 2 yrs

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Page (PDF) 3

Certificate Number 914

Name of Deceased Baily, John H

Place of Death Worcester

Town of Death nr Pocomoke

Sex M

Race colored

Married, Widowed, or Single widowed

Date of Birth 10/10/1857

Age (year, month, days) 65 yrs

Occupation or Employer farmer

Birthplace Md?

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Linnall Northam; Pocomoke

Date of Death 1/30/1922

Cause of Death and Time Attended by Doctor myocardio insufiency; 2 yrs

Immediate, Secondary, or Contributory Cause and How Long none

Physician and Address P Critcher; New Church Va

Burial Place, Date, Undertaker, and Address Wash Taylor farm; 2/1/1922; FA Covington; New Church Va

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Cottman, Eleanor

Place of Death Somerset

Town of Death Mt Vernon

Age (year, month, days) 33

Occupation or Employer housewife

Date of Death 6/28/1910

Cause of Death and Time Attended by Doctor phthisis pulmonalis, 7 mos

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Page (PDF) 13

Certificate Number –

Name of Deceased Cottman, Eleanor

Place of Death Somerset

Town of Death Mt Vernon

Sex M

Race colored

Married, Widowed, or Single M

Date of Birth –

Age (year, month, days) 33

Occupation or Employer housewife

Birthplace Maryland

Father's Name - Waters

Father's Birthplace Maryland

Mother's Name not known

Mother's Birthplace -

Informant (Relationship and Address) Joe Cottman, husband

Date of Death 6/28/1910

Cause of Death and Time Attended by Doctor phthisis pulmonalis, 7 mos

Immediate, Secondary, or Contributory Cause and How Long astheuia, progresive

Physician and Address Henry M. Lankford, Princess Anne

Burial Place, Date, Undertaker, and Address –

Length of Residence, Where Disease Contracted, Former Residence -

Other Notes spouse - Joe Cottman

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Name of Deceased Reed, Richard

Place of Death Wicomico

Town of Death Salisbury

Age (year, month, days) 68 yr

Occupation or Employer Waterman

Date of Death 8/30/1910

Cause of Death and Time Attended by Doctor Strangulated hernia, 5 days

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Page (PDF) 59

Certificate Number –

Name of Deceased Reed, Richard

Place of Death Wicomico

Town of Death Salisbury

Sex M

Race Colored

Married, Widowed, or Single M

Date of Birth –

Age (year, month, days) 68 yr

Occupation or Employer Waterman

Birthplace Virginia

Father's Name Solomon Reed

Father's Birthplace Virginia

Mother's Name not known

Mother's Birthplace Don't know

Informant (Relationship and Address) Edward Brown, none

Date of Death 8/30/1910

Cause of Death and Time Attended by Doctor Strangulated hernia, 5 days

Immediate, Secondary, or Contributory Cause and How Long peritonitis, 2 days

Physician and Address J McDick, Salisbury, Md

Burial Place, Date, Undertaker, and Address –

Length of Residence, Where Disease Contracted, Former Residence Eastville, Va

Other Notes spouse: Annie Reed

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Name of Deceased Townsend, Priscilla

Place of Death Worcester

Town of Death Near Zion M.E. Church

Age (year, month, days) 58 yrs

Occupation or Employer Housework

Date of Death 11/2/1910

Cause of Death and Time Attended by Doctor Cardiac insufficency, several years

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Page (PDF) 37

Certificate Number –

Name of Deceased Townsend, Priscilla

Place of Death Worcester

Town of Death Near Zion M.E. Church

Sex F

Race Black

Married, Widowed, or Single S

Date of Birth –

Age (year, month, days) 58 yrs

Occupation or Employer Housework

Birthplace Worcester Co., Md

Father's Name Caleb Townsend

Father's Birthplace Worcester Co., Md

Mother's Name Not known

Mother's Birthplace Not known

Informant (Relationship and Address) Clayton E. Dykes, none

Date of Death 11/2/1910

Cause of Death and Time Attended by Doctor Cardiac insufficency, several years

Immediate, Secondary, or Contributory Cause and How Long syncopa, Immediate

Physician and Address JMcFDick, Salisbury, Md

Burial Place, Date, Undertaker, and Address –

Length of Residence, Where Disease Contracted, Former Residence At home

Other Notes spouse: none

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Name of Deceased Cottman, Morris Wallace

Place of Death Somerset

Town of Death Princess Anne

Age (year, month, days) about 65 yrs

Occupation or Employer Farmer

Date of Death 2/11/1911

Cause of Death and Time Attended by Doctor Chronic nephritis, 1 yr 6 mos

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Page (PDF) 7

Certificate Number –

Name of Deceased Cottman, Morris Wallace

Place of Death Somerset

Town of Death Princess Anne

Sex M

Race Colored

Married, Widowed, or Single W

Date of Birth not known

Age (year, month, days) about 65 yrs

Occupation or Employer Farmer

Birthplace Maryland

Father's Name Sareth? Cottman

Father's Birthplace Maryland

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Wallace F Cottman, Princess Anne, Md

Date of Death 2/11/1911

Cause of Death and Time Attended by Doctor Chronic nephritis, 1 yr 6 mos

Immediate, Secondary, or Contributory Cause and How Long Mitral regutgitate, 2 days

Physician and Address Heacky M. Lankford, M.D. Princess Anne

Burial Place, Date, Undertaker, and Address -

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Townsend, Levin

Place of Death Wicomico

Town of Death Near Fruitland

Age (year, month, days) 77 yrs 11 mos 14 ds

Occupation or Employer Farmer

Date of Death 8/14/1911

Cause of Death and Time Attended by Doctor I have not seen this case for a year - Brights Disease

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Page (PDF) 75

Certificate Number –

Name of Deceased Townsend, Levin

Place of Death Wicomico

Town of Death Near Fruitland

Sex M

Race Mulatto

Married, Widowed, or Single Married

Date of Birth 9/2/1833

Age (year, month, days) 77 yrs 11 mos 14 ds

Occupation or Employer Farmer

Birthplace unknown

Father's Name Henry Townsend

Father's Birthplace Lila Townsend

Mother's Name Not known

Mother's Birthplace Not known

Informant (Relationship and Address) G.B. Townsend, Fruitland Md

Date of Death 8/14/1911

Cause of Death and Time Attended by Doctor I have not seen this case for a year - Brights Disease

Immediate, Secondary, or Contributory Cause and How Long Old age

Physician and Address C R Truitt, M.D., Salisbury, Md

Burial Place, Date, Undertaker, and Address Fruitland Md 8/16/1911 Geo. C. Hill, Salisbury

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Holland, Emmaline

Place of Death Worcester

Town of Death Pocomoke City

Age (year, month, days) 78 yrs

Occupation or Employer not any

Date of Death 4/4/1912

Cause of Death and Time Attended by Doctor General debility

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Page (PDF) 17

Certificate Number –

Name of Deceased Holland, Emmaline

Place of Death Worcester

Town of Death Pocomoke City

Sex F

Race Negro

Married, Widowed, or Single Married

Date of Birth not know, 1834

Age (year, month, days) 78 yrs

Occupation or Employer not any

Birthplace Md

Father's Name Ed Taylor

Father's Birthplace Md

Mother's Name Not known

Mother's Birthplace Not known

Informant (Relationship and Address) Richard Holland, Pocomoke City, Md

Date of Death 4/4/1912

Cause of Death and Time Attended by Doctor General debility

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address A A Parker, M.D., Pocomoke City, Md

Burial Place, Date, Undertaker, and Address Stockton Md 4/6/1912 Charles Ballard undertaker, Pocomoke City, Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Manuel, Susie

Place of Death Wicomico

Town of Death Salisbury, P.G. Hospital

Age (year, month, days) about 22 yrs

Occupation or Employer Homework - Employed

Date of Death 6/24/1912

Cause of Death and Time Attended by Doctor Heart failure - remediate

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Page (PDF) 37

Certificate Number –

Name of Deceased Manuel, Susie

Place of Death Wicomico

Town of Death Salisbury, P.G. Hospital

Sex F

Race Negro

Married, Widowed, or Single Single

Date of Birth Not known

Age (year, month, days) about 22 yrs

Occupation or Employer Homework - Employed

Birthplace Maryland

Father's Name I don't know

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Miss M.F. Shields Superintendant, Salisbury Md

Date of Death 6/24/1912

Cause of Death and Time Attended by Doctor Heart failure - remediate

Immediate, Secondary, or Contributory Cause and How Long Esterim siurcovis

Physician and Address J McF Dick, M.D. Salisbury, Md

Burial Place, Date, Undertaker, and Address Crisfield, Md; x; Shipped by 6/25/1912 Geo. C. Hill undertaker, Salisbury Md.

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Waller, Lizzie E.

Place of Death Wicomico

Town of Death near Mardela Springs

Age (year, month, days) 47 yrs

Occupation or Employer house wife

Date of Death 12/17/1912

Cause of Death and Time Attended by Doctor tuberculosis of bowels 12/5/192 - 12/17/1912

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Page (PDF) 49

Certificate Number x

Name of Deceased Waller, Lizzie E.

Place of Death Wicomico

Town of Death near Mardela Springs

Sex F

Race Black

Married, Widowed, or Single married

Date of Birth unknown

Age (year, month, days) 47 yrs

Occupation or Employer house wife

Birthplace Wicomico

Father's Name Benjamin Dashiell

Father's Birthplace Wicomico

Mother's Name not known

Mother's Birthplace Wicomico

Informant (Relationship and Address) Isaac L Waller; Mardela Springs, Md

Date of Death 12/17/1912

Cause of Death and Time Attended by Doctor tuberculosis of bowels 12/5/192 - 12/17/1912

Immediate, Secondary, or Contributory Cause and How Long exhaustion 8 mos

Physician and Address Geo W B- ? ; Mardela Springs, Md

Burial Place, Date, Undertaker, and Address Rockawalking; 12/191912/ A.L. Seabrease; Mardela Sprgs, Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Polk, Elias

Place of Death Wicomico

Town of Death near Mardela

Age (year, month, days) 76 yrs

Occupation or Employer farmer

Date of Death 6/11/1913

Cause of Death and Time Attended by Doctor apoplexy

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Page (PDF) 71

Certificate Number 8489

Name of Deceased Polk, Elias

Place of Death Wicomico

Town of Death near Mardela

Sex M

Race Black

Married, Widowed, or Single Married

Date of Birth 3/1837

Age (year, month, days) 76 yrs

Occupation or Employer farmer

Birthplace Delaware

Father's Name William Polk

Father's Birthplace Del

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Wilson Polk; Mardela Springs

Date of Death 6/11/1913

Cause of Death and Time Attended by Doctor apoplexy

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address HC Connaway; Hebron Md

Burial Place, Date, Undertaker, and Address Col Church; 6/13/1913; AL Seabrease; Mardela Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Polk, Henrietta

Place of Death Wicomico

Town of Death Salisbury; Parsons District

Age (year, month, days) abt 97 yrs

Occupation or Employer housekeeper

Date of Death 9/13/1913

Cause of Death and Time Attended by Doctor cardiac failure; aortic re?; senility

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Page (PDF) 37

Certificate Number 12860

Name of Deceased Polk, Henrietta

Place of Death Wicomico

Town of Death Salisbury; Parsons District

Sex F

Race AA

Married, Widowed, or Single widowed

Date of Birth unknown

Age (year, month, days) abt 97 yrs

Occupation or Employer housekeeper

Birthplace Maryland

Father's Name Robert Leonard

Father's Birthplace Maryland

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Solomon T Houston; E Church St. Salisbury Md

Date of Death 9/13/1913

Cause of Death and Time Attended by Doctor cardiac failure; aortic re?; senility

Immediate, Secondary, or Contributory Cause and How Long endoconditis

Physician and Address JW Roberts; Salisbury

Burial Place, Date, Undertaker, and Address Houston Cemetery; Salisbury; 9/15/1913; Jas T Stewart; E Church St Salisbury

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Williames; George H [Williams?]

Place of Death Wicomico

Town of Death near Delmar #5 Parson Dist

Age (year, month, days) 83 yrs

Occupation or Employer laborer

Date of Death 2/12/1914

Cause of Death and Time Attended by Doctor general debility due to old age; 5 yrs

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Page (PDF) 55

Certificate Number 2086

Name of Deceased Williames; George H [Williams?]

Place of Death Wicomico

Town of Death near Delmar #5 Parson Dist

Sex M

Race AA

Married, Widowed, or Single married

Date of Birth 1831

Age (year, month, days) 83 yrs

Occupation or Employer laborer

Birthplace Maryland

Father's Name Sandy Vincent

Father's Birthplace Maryland

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Ella Selby; Washington DC

Date of Death 2/12/1914

Cause of Death and Time Attended by Doctor general debility due to old age; 5 yrs

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address James Bradshaw; Delmar, Del

Burial Place, Date, Undertaker, and Address Union Cemetery; 2/15/1914; JF Stewart; Salisbury, Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased West, John T

Place of Death Somerset

Town of Death Westover

Age (year, month, days) 46 yrs 8 mos

Occupation or Employer waterman

Date of Death 3/19/1915

Cause of Death and Time Attended by Doctor mitral insufficiency; 1 mos

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Page (PDF) 91

Certificate Number 4123

Name of Deceased West, John T

Place of Death Somerset

Town of Death Westover

Sex M

Race colored

Married, Widowed, or Single married

Date of Birth 7/1868

Age (year, month, days) 46 yrs 8 mos

Occupation or Employer waterman

Birthplace Virginia

Father's Name Aaron West

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace unknown

Informant (Relationship and Address) Mary West; Westover

Date of Death 3/19/1915

Cause of Death and Time Attended by Doctor mitral insufficiency; 1 mos

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Avery M Lankford; Princess Anne

Burial Place, Date, Undertaker, and Address Curtis Chapel; 3/20/1915; Herbert Wilson; Up Fairmount

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Whaley, Isaac, col

Place of Death Worcester

Town of Death Newark Md

Age (year, month, days) 35 yrs

Occupation or Employer farmer

Date of Death 2/12/1916

Cause of Death and Time Attended by Doctor no dr.; Consumption

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Page (PDF) 31

Certificate Number 2816

Name of Deceased Whaley, Isaac, col

Place of Death Worcester

Town of Death Newark Md

Sex M

Race col

Married, Widowed, or Single married

Date of Birth 6/1881

Age (year, month, days) 35 yrs

Occupation or Employer farmer

Birthplace Md

Father's Name John Whaley

Father's Birthplace Md

Mother's Name not known

Mother's Birthplace Md

Informant (Relationship and Address) Elijah Parker; Newark

Date of Death 2/12/1916

Cause of Death and Time Attended by Doctor no dr.; Consumption

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address WL Holloway, regis.; Berlin Md

Burial Place, Date, Undertaker, and Address Cedar Chapel; 2/13/1916; JH W Burbage; Berlin Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Wilson, George

Place of Death Somerset

Town of Death Princess Anne

Age (year, month, days) 52 yrs 9 mos 2 ds

Occupation or Employer laborere

Date of Death 3/4/1916

Cause of Death and Time Attended by Doctor dropped dead on street (cause unknown) no autopsy

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Page (PDF) 93

Certificate Number 4023

Name of Deceased Wilson, George

Place of Death Somerset

Town of Death Princess Anne

Sex M

Race colored

Married, Widowed, or Single married

Date of Birth 6/2/1863

Age (year, month, days) 52 yrs 9 mos 2 ds

Occupation or Employer laborere

Birthplace Maryland

Father's Name George Wilson

Father's Birthplace Maryland

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Margaret Wilson; Princess Anne

Date of Death 3/4/1916

Cause of Death and Time Attended by Doctor dropped dead on street (cause unknown) no autopsy

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Hrury M Lankdord; Princess Anne

Burial Place, Date, Undertaker, and Address Princess Anne; 3/6/1916; Jas I Dennis; Princess Anne

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Dashield, Peter

Place of Death Wicomico

Town of Death Quantico

Age (year, month, days) 62 yrs

Occupation or Employer woodcutter

Date of Death 4/29/1916

Cause of Death and Time Attended by Doctor cerebral hemorrhage

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Page (PDF) 17

Certificate Number 5588

Name of Deceased Dashield, Peter

Place of Death Wicomico

Town of Death Quantico

Sex M

Race negro

Married, Widowed, or Single married

Date of Birth unknown

Age (year, month, days) 62 yrs

Occupation or Employer woodcutter

Birthplace Md

Father's Name Peter Dashield

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Frank Dashield; Quantico

Date of Death 4/29/1916

Cause of Death and Time Attended by Doctor cerebral hemorrhage

Immediate, Secondary, or Contributory Cause and How Long arterio sclerosis

Physician and Address JA Warheulorte??; Quantico

Burial Place, Date, Undertaker, and Address Quantico; 4/30/1916; James Jones; quantico

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Maddox, Jackson

Place of Death Somerset

Town of Death Manokin

Age (year, month, days) 80 yrs 7 mos 7 ds

Occupation or Employer laborer

Date of Death 7/14/1916

Cause of Death and Time Attended by Doctor cerebral haemorrhage; 7 ds

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Page (PDF) 49

Certificate Number 9875

Name of Deceased Maddox, Jackson

Place of Death Somerset

Town of Death Manokin

Sex M

Race colored

Married, Widowed, or Single married

Date of Birth 12/7/1835

Age (year, month, days) 80 yrs 7 mos 7 ds

Occupation or Employer laborer

Birthplace Maryland

Father's Name Major Maddox

Father's Birthplace Maryland

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Julius Ballard; Manokin Md

Date of Death 7/14/1916

Cause of Death and Time Attended by Doctor cerebral haemorrhage; 7 ds

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Avery M Lankford; Princess Anne

Burial Place, Date, Undertaker, and Address colored church yard; 7/15/1916; Herbert Wilson; Up Fairmount

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Howard, France

Place of Death Worcester

Town of Death Berlin

Age (year, month, days) 70 yrs

Occupation or Employer housekeeping

Date of Death 8/7/1916

Cause of Death and Time Attended by Doctor chronic nephritis

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Page (PDF) 37

Certificate Number 11740

Name of Deceased Howard, France

Place of Death Worcester

Town of Death Berlin

Sex F

Race col

Married, Widowed, or Single widow

Date of Birth 1846

Age (year, month, days) 70 yrs

Occupation or Employer housekeeping

Birthplace Virginia

Father's Name unknown Brown

Father's Birthplace Va

Mother's Name not known

Mother's Birthplace VA

Informant (Relationship and Address) John R Massy; Berlin

Date of Death 8/7/1916

Cause of Death and Time Attended by Doctor chronic nephritis

Immediate, Secondary, or Contributory Cause and How Long mitral regurgitation; unknown

Physician and Address HL Purnell; Berlin

Burial Place, Date, Undertaker, and Address Synepuxent Church; 8/8/1916; JW Burbage & Bro; Berlin Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Tilghman, Henrietta

Place of Death Somerset

Town of Death Princess Anne

Age (year, month, days) 60 yrs

Occupation or Employer housewife

Date of Death 9/21/1916

Cause of Death and Time Attended by Doctor mitral insufficiency 7 stenosis; 6 mos

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Page (PDF) 69

Certificate Number 13428

Name of Deceased Tilghman, Henrietta

Place of Death Somerset

Town of Death Princess Anne

Sex F

Race colored

Married, Widowed, or Single married

Date of Birth 1856

Age (year, month, days) 60 yrs

Occupation or Employer housewife

Birthplace Maryland

Father's Name Edward Dennis

Father's Birthplace Maryland

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) George Tilghman; Princess Anne

Date of Death 9/21/1916

Cause of Death and Time Attended by Doctor mitral insufficiency 7 stenosis; 6 mos

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Henry M Lankford; Princess Anne

Burial Place, Date, Undertaker, and Address Princess Anne; 9/24/1916; Jas I Dennis; Princess Anne

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Holland, Lewis, col.

Place of Death Worcester

Town of Death Newark Md

Age (year, month, days) abt 75 yrs

Occupation or Employer farming

Date of Death 9/8/1916

Cause of Death and Time Attended by Doctor senile disability

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Page (PDF) 17

Certificate Number 13606

Name of Deceased Holland, Lewis, col.

Place of Death Worcester

Town of Death Newark Md

Sex M

Race col

Married, Widowed, or Single married

Date of Birth 1841

Age (year, month, days) abt 75 yrs

Occupation or Employer farming

Birthplace Maryland

Father's Name Horace Holland

Father's Birthplace Maryland

Mother's Name not known

Mother's Birthplace Maryland

Informant (Relationship and Address) Prissa Holland; Newark Md

Date of Death 9/8/1916

Cause of Death and Time Attended by Doctor senile disability

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Monel S Linga; Newark Md

Burial Place, Date, Undertaker, and Address Cedar Chapel; 9/10/1916; JW Burbage & Bro; Berlin Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Gerry, Mollie, col

Place of Death Worcester

Town of Death Berlin

Age (year, month, days) 38 yrs 8 mos 2 ds

Occupation or Employer house wife

Date of Death 10/20/1916

Cause of Death and Time Attended by Doctor tuberculosis of intestinal & peritoneum; 6 yrs

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Page (PDF) 23

Certificate Number 16060

Name of Deceased Gerry, Mollie, col

Place of Death Worcester

Town of Death Berlin

Sex F

Race col

Married, Widowed, or Single married

Date of Birth 2/18/1877

Age (year, month, days) 38 yrs 8 mos 2 ds

Occupation or Employer house wife

Birthplace North Carolina

Father's Name William Asknew

Father's Birthplace North Carolina

Mother's Name not known

Mother's Birthplace North Caroline

Informant (Relationship and Address) Isaac Kenny; Berlin Md

Date of Death 10/20/1916

Cause of Death and Time Attended by Doctor tuberculosis of intestinal & peritoneum; 6 yrs

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address CA Holland; Berlin Md

Burial Place, Date, Undertaker, and Address Germantown Cemetery; 10/22/1916; JW Burbage & Bros; Berlin Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Kenney, Dennis

Place of Death Somerset

Town of Death Marion

Age (year, month, days) 71 ytd 4 mos 4 ds

Occupation or Employer laborer

Date of Death 12/24/1916

Cause of Death and Time Attended by Doctor hypostatis pneumonia; cordiac exhaustion; . Cerebral hemorrhage

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Page (PDF) 27

Certificate Number 22927

Name of Deceased Kenney, Dennis

Place of Death Somerset

Town of Death Marion

Sex M

Race col

Married, Widowed, or Single married

Date of Birth 3/20/1845

Age (year, month, days) 71 ytd 4 mos 4 ds

Occupation or Employer laborer

Birthplace Somerset

Father's Name Levin Kenney

Father's Birthplace Md

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) James Kenney; Marion Md

Date of Death 12/24/1916

Cause of Death and Time Attended by Doctor hypostatis pneumonia; cordiac exhaustion; . Cerebral hemorrhage

Immediate, Secondary, or Contributory Cause and How Long general arterio sclerosis; chronic myocarditis mylentas

Physician and Address Geo C Coulbourn; Marion

Burial Place, Date, Undertaker, and Address Mt Pier; 12/26/1915; Tilghman Ward; Marion

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Jones, Charlotte

Place of Death Wicomico

Town of Death Fruitland

Age (year, month, days) abt 97

Occupation or Employer none

Date of Death 12/16/1916

Cause of Death and Time Attended by Doctor chronic valvular disease of the heart with aterio sclerosis

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Page (PDF) 47

Certificate Number 23092

Name of Deceased Jones, Charlotte

Place of Death Wicomico

Town of Death Fruitland

Sex F

Race black

Married, Widowed, or Single widow

Date of Birth no record

Age (year, month, days) abt 97

Occupation or Employer none

Birthplace Maryland

Father's Name I don't know

Father's Birthplace unknown

Mother's Name not known

Mother's Birthplace unknown

Informant (Relationship and Address) Andrew Wright; Fruitland Md

Date of Death 12/16/1916

Cause of Death and Time Attended by Doctor chronic valvular disease of the heart with aterio sclerosis

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address WO Daisey; Fruitland

Burial Place, Date, Undertaker, and Address Fruitland Md; Wednesday 2 pm 1916; Hill & Johnson Co; Salisbury

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Morris, Riley

Place of Death Worcester

Town of Death Berlin

Age (year, month, days) 70?

Occupation or Employer labering

Date of Death 12/31/1916

Cause of Death and Time Attended by Doctor brain tumor; 3 yrs

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Page (PDF) 29

Certificate Number 23176

Name of Deceased Morris, Riley

Place of Death Worcester

Town of Death Berlin

Sex M

Race col

Married, Widowed, or Single widowed

Date of Birth x/x/ 1846

Age (year, month, days) 70?

Occupation or Employer labering

Birthplace Maryland

Father's Name Justice Morris

Father's Birthplace Md

Mother's Name not known

Mother's Birthplace Md

Informant (Relationship and Address) Fred Morris; Berlin

Date of Death 12/31/1916

Cause of Death and Time Attended by Doctor brain tumor; 3 yrs

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address CA Holland; Berlin Md

Burial Place, Date, Undertaker, and Address St Pauls Cemetery; 1/2/1917; JW Burbage & Bros; Berlin MD

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Bacon, Louisa

Place of Death Somerset

Town of Death Princess Anne

Age (year, month, days) 68 yrs 4 mos 11 ds

Occupation or Employer housewife

Date of Death 3/17/1917

Cause of Death and Time Attended by Doctor cerebral haemorrhage; 3 ds

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Page (PDF) 3

Certificate Number 4681

Name of Deceased Bacon, Louisa

Place of Death Somerset

Town of Death Princess Anne

Sex F

Race colored

Married, Widowed, or Single married

Date of Birth 11/6/1848

Age (year, month, days) 68 yrs 4 mos 11 ds

Occupation or Employer housewife

Birthplace Maryland

Father's Name William Miles

Father's Birthplace Maryland

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) John Bacon; Princess Anne

Date of Death 3/17/1917

Cause of Death and Time Attended by Doctor cerebral haemorrhage; 3 ds

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Henry NM Lankford; Princess Anne

Burial Place, Date, Undertaker, and Address Princess Anne; 2/20/1917; John I Dennis; x

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Fedderman?, John

Place of Death Worcester

Town of Death Ward Town near Pocomoke

Age (year, month, days) abt 65

Occupation or Employer farm laberor

Date of Death 4/22/1917

Cause of Death and Time Attended by Doctor chronic Brights arterio sclerosis, mitral regurtation; years

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Page (PDF) 27

Certificate Number 6786

Name of Deceased Fedderman?, John

Place of Death Worcester

Town of Death Ward Town near Pocomoke

Sex M

Race colored

Married, Widowed, or Single single

Date of Birth not known

Age (year, month, days) abt 65

Occupation or Employer farm laberor

Birthplace Virginia

Father's Name John Fedderman

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace Pocomoke City

Informant (Relationship and Address) Geo H Whealton; Pocomoke City

Date of Death 4/22/1917

Cause of Death and Time Attended by Doctor chronic Brights arterio sclerosis, mitral regurtation; years

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address CE Pritcher; New Church Va

Burial Place, Date, Undertaker, and Address Ward field near Pocomoke; 4/24/1917; FA Covington; New Church Va

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Varrick, Mr. Lewes

Place of Death Wicomico

Town of Death Salisbury (54 Church St.; 5th ward)

Age (year, month, days) 57 yrs

Occupation or Employer Coachman

Date of Death 7/30/1917

Cause of Death and Time Attended by Doctor Endocarditis on aortic regurgitation 7 yrs

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Page (PDF) 77

Certificate Number 12108

Name of Deceased Varrick, Mr. Lewes

Place of Death Wicomico

Town of Death Salisbury (54 Church St.; 5th ward)

Sex M

Race A.A.

Married, Widowed, or Single Married

Date of Birth 7/30/1860

Age (year, month, days) 57 yrs

Occupation or Employer Coachman

Birthplace N.Y. City

Father's Name Daniel Varrick

Father's Birthplace N.Y. City

Mother's Name Not known

Mother's Birthplace N.Y. City

Informant (Relationship and Address) Mrs. Martha Varrick

Date of Death 7/30/1917

Cause of Death and Time Attended by Doctor Endocarditis on aortic regurgitation 7 yrs

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address J.M. Roberts, M.D.; Salisbury,Md

Burial Place, Date, Undertaker, and Address Houston Cemetery 8/2/1917 Jas F. Stewart; Salisbury, Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Brittingham, Hester

Place of Death Worcester

Town of Death Berlin

Age (year, month, days) 65 yrs

Occupation or Employer House Keeping

Date of Death 7/8/1917

Cause of Death and Time Attended by Doctor Pulmonary tuberculosi 2 yrs

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Page (PDF) 9

Certificate Number 12115

Name of Deceased Brittingham, Hester

Place of Death Worcester

Town of Death Berlin

Sex F

Race Col

Married, Widowed, or Single married

Date of Birth Date not known, 1882

Age (year, month, days) 65 yrs

Occupation or Employer House Keeping

Birthplace Maryland

Father's Name Isaac Pitts

Father's Birthplace Maryland

Mother's Name Not known

Mother's Birthplace Maryland

Informant (Relationship and Address) Heuy Brittingham; Berlin, Md

Date of Death 7/8/1917

Cause of Death and Time Attended by Doctor Pulmonary tuberculosi 2 yrs

Immediate, Secondary, or Contributory Cause and How Long Tubercular entint 3 mos

Physician and Address James R. Bishop, M.D.; Showell, Md

Burial Place, Date, Undertaker, and Address St. Pauls Cemetery 7/10/1917 J W Burbage & Bro; Berlin, Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Marshall, Ross, col

Place of Death Worcester

Town of Death Newark Md

Age (year, month, days) 54 yrs

Occupation or Employer farmer

Date of Death 7/31/1917

Cause of Death and Time Attended by Doctor apoplexy

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Page (PDF) 43

Certificate Number 12188

Name of Deceased Marshall, Ross, col

Place of Death Worcester

Town of Death Newark Md

Sex M

Race col

Married, Widowed, or Single married

Date of Birth 1863

Age (year, month, days) 54 yrs

Occupation or Employer farmer

Birthplace Md

Father's Name Milba Marshall

Father's Birthplace Md

Mother's Name not known

Mother's Birthplace Md

Informant (Relationship and Address) Sam Timmons; Berlin Md

Date of Death 7/31/1917

Cause of Death and Time Attended by Doctor apoplexy

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Maures Lingo; Newark Md

Burial Place, Date, Undertaker, and Address St Peters Cemetery; 8/1/1917; JW Burbage & Brown; Berlin

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Colick, William

Place of Death Worcester

Town of Death Berlin Md RFD

Age (year, month, days) supposed 75 yrs

Occupation or Employer farmer

Date of Death 12/9/1917

Cause of Death and Time Attended by Doctor old age; no dr called

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Page (PDF) 9

Certificate Number 36093

Name of Deceased Colick, William

Place of Death Worcester

Town of Death Berlin Md RFD

Sex M

Race col

Married, Widowed, or Single married

Date of Birth 1842

Age (year, month, days) supposed 75 yrs

Occupation or Employer farmer

Birthplace Maryland

Father's Name Eresal Colick

Father's Birthplace Md

Mother's Name not known

Mother's Birthplace Md

Informant (Relationship and Address) James Colick; Berlin Md

Date of Death 12/9/1917

Cause of Death and Time Attended by Doctor old age; no dr called

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address x

Burial Place, Date, Undertaker, and Address Sinepuxent St; 12/11/1917; JW Burbage & Bro; Berlin

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Sample, Harry

Place of Death Somerset

Town of Death Crisfield

Age (year, month, days) 33 yrs

Occupation or Employer barrel maker

Date of Death 2/4/1918

Cause of Death and Time Attended by Doctor mitral regurgitation; general anaesorca; hypostatic pneumonia

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Page (PDF) 43

Certificate Number 3071

Name of Deceased Sample, Harry

Place of Death Somerset

Town of Death Crisfield

Sex M

Race colored

Married, Widowed, or Single single

Date of Birth 1885

Age (year, month, days) 33 yrs

Occupation or Employer barrel maker

Birthplace Virginia

Father's Name John Sample

Father's Birthplace Virginia

Mother's Name not known

Mother's Birthplace Virginia

Informant (Relationship and Address) Annie Collins; Crisfield Md

Date of Death 2/4/1918

Cause of Death and Time Attended by Doctor mitral regurgitation; general anaesorca; hypostatic pneumonia

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Wm H Coulbourn; Crisfield

Burial Place, Date, Undertaker, and Address Asbury Colored Cemetery; 2/6/1918; IJ Lawson; Crisfield

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Parker, Ralph

Place of Death Worcester

Town of Death Berlin

Age (year, month, days) 4 mos 2 ds

Occupation or Employer x

Date of Death 11/17/1918

Cause of Death and Time Attended by Doctor influenza

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Page (PDF) 61

Certificate Number 43452

Name of Deceased Parker, Ralph

Place of Death Worcester

Town of Death Berlin

Sex M

Race col

Married, Widowed, or Single x

Date of Birth 7/16/1918

Age (year, month, days) 4 mos 2 ds

Occupation or Employer x

Birthplace Md

Father's Name John Parker

Father's Birthplace Md

Mother's Name not known

Mother's Birthplace Md

Informant (Relationship and Address) John Parker; Berlin Md

Date of Death 11/17/1918

Cause of Death and Time Attended by Doctor influenza

Immediate, Secondary, or Contributory Cause and How Long –

Physician and Address Charles R Law; Berlin

Burial Place, Date, Undertaker, and Address Bowen's Chapel; 11/18/1918; JW Burbage Sr; Berlin

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Baine, Roley

Place of Death Wicomico

Town of Death Salisbury; P G Hospital

Age (year, month, days) abt 5 yrs

Occupation or Employer none

Date of Death 1/18/1920

Cause of Death and Time Attended by Doctor pistol shot wound right lobe of liver; accidental shooting

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Certificate Number 1017

Name of Deceased Baine, Roley

Place of Death Wicomico

Town of Death Salisbury; P G Hospital

Sex M

Race black

Married, Widowed, or Single single

Date of Birth x

Age (year, month, days) abt 5 yrs

Occupation or Employer none

Birthplace Maryland

Father's Name John Baine

Father's Birthplace Maryland

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Superintendant PGH Hospital; Salisbury md

Date of Death 1/18/1920

Cause of Death and Time Attended by Doctor pistol shot wound right lobe of liver; accidental shooting

Immediate, Secondary, or Contributory Cause and How Long hemorrhage; 1 ds

Physician and Address JW McF Dick; Salisbury

Burial Place, Date, Undertaker, and Address shipped to Girdletree Md; 1/?/1920

Length of Residence, Where Disease Contracted, Former Residence 4 hrs; lifetime in state; former residence Worcester

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Name of Deceased Cane, William Edward

Place of Death Somerset

Town of Death Marion

Age (year, month, days) 52 yrs 9 mos

Occupation or Employer farmer

Date of Death 4/13/1920

Cause of Death and Time Attended by Doctor acute dil of heart

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Certificate Number 7200

Name of Deceased Cane, William Edward

Place of Death Somerset

Town of Death Marion

Sex M

Race col

Married, Widowed, or Single married

Date of Birth 8/13/1868

Age (year, month, days) 52 yrs 9 mos

Occupation or Employer farmer

Birthplace Maryland

Father's Name Cellus Cane

Father's Birthplace Md

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Geo Cane; Marion Md

Date of Death 4/13/1920

Cause of Death and Time Attended by Doctor acute dil of heart

Immediate, Secondary, or Contributory Cause and How Long chronic myocarditis & nephritis - chronic interstitial

Physician and Address George C Culk; Marion

Burial Place, Date, Undertaker, and Address Branch Cemetary; 4/15/1920; Tilghman & Ward; Marion Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Morgan, Caroline

Place of Death Somerset

Town of Death Marion

Age (year, month, days) abt 83 yrs

Occupation or Employer HW

Date of Death 3/27/1921

Cause of Death and Time Attended by Doctor acute dil of heart. Hypo statis congestion of lungs; 3 ds

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Certificate Number 4275

Name of Deceased Morgan, Caroline

Place of Death Somerset

Town of Death Marion

Sex F

Race col

Married, Widowed, or Single widowed

Date of Birth not known

Age (year, month, days) abt 83 yrs

Occupation or Employer HW

Birthplace Md

Father's Name not known

Father's Birthplace not known

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Geo S Tilghman; Marion Md

Date of Death 3/27/1921

Cause of Death and Time Attended by Doctor acute dil of heart. Hypo statis congestion of lungs; 3 ds

Immediate, Secondary, or Contributory Cause and How Long chronic int inephritis. Chronic myocarditis; 4 yrs

Physician and Address George C Coulbourn; Marion

Burial Place, Date, Undertaker, and Address Library Cemetary; 3/29/1921; Tilghman & Ward; Marion Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Miles, John X

Place of Death Somerset

Town of Death Westover

Age (year, month, days) abt 80 yrs

Occupation or Employer laborer

Date of Death 9/17/1921

Cause of Death and Time Attended by Doctor acute del of heart

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Certificate Number 14160

Name of Deceased Miles, John X

Place of Death Somerset

Town of Death Westover

Sex M

Race col

Married, Widowed, or Single married

Date of Birth not known

Age (year, month, days) abt 80 yrs

Occupation or Employer laborer

Birthplace Md

Father's Name Adam Miles

Father's Birthplace Md

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) Harrieson Miles; Westover Md

Date of Death 9/17/1921

Cause of Death and Time Attended by Doctor acute del of heart

Immediate, Secondary, or Contributory Cause and How Long chronic myocarditis; chronic int nephritis; 2 yrs

Physician and Address Sed C Carellorem?; Marion Md

Burial Place, Date, Undertaker, and Address Curtis; 9/19/1921; Jas I Dennis; Princess Anne, MD

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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Name of Deceased Bailey, Moses

Place of Death Wicomico

Town of Death PG Hospital

Age (year, month, days) 28 yrs

Occupation or Employer farmer

Date of Death 11/21/1921

Cause of Death and Time Attended by Doctor post operative items: operation for chronic adheasions. Small intestine was gangrenous

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Certificate Number 17811

Name of Deceased Bailey, Moses

Place of Death Wicomico

Town of Death PG Hospital

Sex M

Race colored

Married, Widowed, or Single married

Date of Birth abt 1893

Age (year, month, days) 28 yrs

Occupation or Employer farmer

Birthplace Virginia

Father's Name Peter Henry Bayley

Father's Birthplace Virginia

Mother's Name not known

Mother's Birthplace not known

Informant (Relationship and Address) superintendant PG Hospital; Salisbury Md

Date of Death 11/21/1921

Cause of Death and Time Attended by Doctor post operative items: operation for chronic adheasions. Small intestine was gangrenous

Immediate, Secondary, or Contributory Cause and How Long general peritinitis; 3 ds

Physician and Address JMcF Dick; Salisbiury

Burial Place, Date, Undertaker, and Address Keller Va; 11/23/1921; Hill & Johnson Co; Salisury md

Length of Residence, Where Disease Contracted, Former Residence 1 ds; residentce Painter Va

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Name of Deceased Miles, Harrett

Place of Death Somerset

Town of Death Westover RD

Age (year, month, days) abt 67 yrs 7 mos 10 ds

Occupation or Employer house work

Date of Death 2/23/1922

Cause of Death and Time Attended by Doctor acute dil of heart

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Certificate Number 1892

Name of Deceased Miles, Harrett

Place of Death Somerset

Town of Death Westover RD

Sex F

Race col

Married, Widowed, or Single married

Date of Birth abt 1855

Age (year, month, days) abt 67 yrs 7 mos 10 ds

Occupation or Employer house work

Birthplace Md

Father's Name Eben Cottman

Father's Birthplace Md

Mother's Name not known

Mother's Birthplace x

Informant (Relationship and Address) Will Miles; Marion Md

Date of Death 2/23/1922

Cause of Death and Time Attended by Doctor acute dil of heart

Immediate, Secondary, or Contributory Cause and How Long chronic myocarditis; chronic int nephritis; 1 yrs

Physician and Address Geo Coulbourn; Marion Md

Burial Place, Date, Undertaker, and Address Curtis Chapel; 2/26/1922; James I Dennis; P Anne Md

Length of Residence, Where Disease Contracted, Former Residence –

Other Notes –

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