| Page (PDF) | 89 |
|---|---|
| Certificate Number | 5396 |
| Name of Deceased | Waters, Theodore |
| Place of Death | Somerset |
| Town of Death | Mt Vernon |
| Sex | M |
| Race | black |
| Married, Widowed, or Single | married |
| Date of Birth | 12/12/1876 |
| Age (year, month, days) | 43 yrs 3 mos 12 ds |
| Occupation or Employer | farmer |
| Birthplace | Wicomico |
| Father's Name | Thos Waters |
| Father's Birthplace | Pennsylvania |
| Mother's Name | Risie Turner |
| Mother's Birthplace | Wicomico |
| Informant (Relationship and Address) | Alonzo Green; Mt Vernon Md |
| Date of Death | 3/24/1920 |
| Cause of Death and Time Attended by Doctor | chr. Interstitial nephritis |
| Immediate, Secondary, or Contributory Cause and How Long | arterio sclerosis |
| Physician and Address | WO Daisey; Fruitland Md |
| Burial Place, Date, Undertaker, and Address | Polks Road; 3/26/1920; Edwin Jones; Mt Vernon, Md |
| 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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