| Page (PDF) | 63 |
|---|---|
| Certificate Number | 11843 |
| Name of Deceased | Smith,Annie |
| Place of Death | Wicomico |
| Town of Death | Delmar |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 3/4/1898 |
| Age (year, month, days) | 21 yrs 4 mos 22 ds |
| Occupation or Employer | housework |
| Birthplace | Maryland |
| Father's Name | Rome Gordy |
| Father's Birthplace | Maryland |
| Mother's Name | Alice Goslee |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Alice Burrows; Delmar Del |
| Date of Death | 8/14/1919 |
| Cause of Death and Time Attended by Doctor | pulmonary tuberculosis |
| Immediate, Secondary, or Contributory Cause and How Long | chronic nephritis |
| Physician and Address | HC Lecates; Delmar Del |
| Burial Place, Date, Undertaker, and Address | Old Union; 8/15/1919; MW Ellis; Delmar |
| 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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