| Page (PDF) | 23 |
|---|---|
| Certificate Number | 20895 |
| Name of Deceased | Moore, Annie |
| Place of Death | Worcester |
| Town of Death | near Pocomoke |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | x |
| Date of Birth | 4/18/1919 |
| Age (year, month, days) | 7 mos 16 ds |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Arthur Moore |
| Father's Birthplace | Virginia |
| Mother's Name | Lena Mills |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Arthur Moore; Pocomoke Md |
| Date of Death | 12/4/1919 |
| Cause of Death and Time Attended by Doctor | broncho pneumonia; from statement; 24 hrs |
| Immediate, Secondary, or Contributory Cause and How Long | unknown |
| Physician and Address | R Lee Hall; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Geo Town Cemetery near Pocomoke; 12/5/1919; CH Ballard & Bros; Pocomoke |
| 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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