Page (PDF) | 69 |
---|---|
Certificate Number | – |
Name of Deceased | Waters, Balize |
Place of Death | Worcester |
Town of Death | Pocomoke |
Sex | F |
Race | colord |
Married, Widowed, or Single | Infant |
Date of Birth | 4/15/1911 |
Age (year, month, days) | 3 mos |
Occupation or Employer | Infant |
Birthplace | Pocomoke City |
Father's Name | Daniel Waters |
Father's Birthplace | Somerset Co |
Mother's Name | Cassie Quinn |
Mother's Birthplace | Pocomoke City |
Informant (Relationship and Address) | Saml S. Quinn, Pocomoke City |
Date of Death | 7/29/1911 |
Cause of Death and Time Attended by Doctor | Cholera infantum, 2 mos |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | Saml S. Quinn, M.D., Pocomoke City |
Burial Place, Date, Undertaker, and Address | Halls Hill 7/30/1911 Chas Ballard undertaker, 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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