| Page (PDF) | 3 |
|---|---|
| Certificate Number | 20737 |
| Name of Deceased | Bacon, Emma |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | married |
| Date of Birth | 3/5/1890 |
| Age (year, month, days) | 28 yrs 9 mos 9 d |
| Occupation or Employer | general house work |
| Birthplace | Md |
| Father's Name | Jefferson Waters |
| Father's Birthplace | Md |
| Mother's Name | Mariah Waters |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Isaac Bacon; Princess Anne |
| Date of Death | 132/14/1919 |
| Cause of Death and Time Attended by Doctor | acute pulmonary phthisis; 5 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Harlan A Cuff; Prncess Anne |
| Burial Place, Date, Undertaker, and Address | Wesley Cemetaryl 12/16/1919; James I Dennis; Princess Anne |
| 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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