| Page (PDF) | 22 |
|---|---|
| Certificate Number | 0973 |
| Name of Deceased | Douglass, Annie |
| Place of Death | Worcester |
| Town of Death | Girdletree |
| Sex | F |
| Race | negro |
| Married, Widowed, or Single | single |
| Date of Birth | 3/8/1920 |
| Age (year, month, days) | 2 mos 13 ds |
| Occupation or Employer | infant |
| Birthplace | Girdletree Md |
| Father's Name | Ed Douglass |
| Father's Birthplace | Girdletree, Md |
| Mother's Name | Frances Duglass |
| Mother's Birthplace | Stockton Md |
| Informant (Relationship and Address) | Ed Douglass; Girdletree Md |
| Date of Death | 1/1/1921 |
| Cause of Death and Time Attended by Doctor | sinply atrophy or mal nutrition; 2 mos 18 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | SC Oglesby; Girdltree md |
| Burial Place, Date, Undertaker, and Address | Spring Hill Cemetery; 1/3/1921; WS Williams; Snow Hill |
| 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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