| Page (PDF) | 57 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Roach, Ellie Waters |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Single |
| Date of Birth | Feb, 1911 |
| Age (year, month, days) | 5 mos 15 days |
| Occupation or Employer | None |
| Birthplace | Somerset Md |
| Father's Name | Oscar Roach |
| Father's Birthplace | Lawsonia Somerset Md |
| Mother's Name | Ellie Waters |
| Mother's Birthplace | Somerset Md |
| Informant (Relationship and Address) | Oscar Roach, Crisfield, Md |
| Date of Death | 7/10/1911 |
| Cause of Death and Time Attended by Doctor | Exhaustion, 2 days |
| Immediate, Secondary, or Contributory Cause and How Long | Marasmus |
| Physician and Address | R R Norris, M.D., Crisfield, Md |
| Burial Place, Date, Undertaker, and Address | Lawsonia, Md 5/12/1911, R. J. Adams undertakers, Crisfield |
| 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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