| Page (PDF) | 49 |
|---|---|
| Certificate Number | 0802 |
| Name of Deceased | Waters, Victoria |
| Place of Death | Somerset |
| Town of Death | near Pr Anne |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 12/22/1920 |
| Age (year, month, days) | abt 3 wks |
| Occupation or Employer | home |
| Birthplace | Md |
| Father's Name | Anthoney Waters |
| Father's Birthplace | Md |
| Mother's Name | Levinia Jones |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Anthony Waters; Princess Anne |
| Date of Death | 1/10/1921 |
| Cause of Death and Time Attended by Doctor | no dr in attendance. Best informatio. I judge the child had pneumonia; probably bronchial |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | TJ Smith; Pr Anne Md |
| Burial Place, Date, Undertaker, and Address | Pr Anne Md; 1/11/1921; Wm James; Pr Anne 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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