| Page (PDF) | 19 |
|---|---|
| Certificate Number | 8052 |
| Name of Deceased | Douglass, Susie |
| Place of Death | Worcester |
| Town of Death | Girdletree |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 11/10/1918 |
| Age (year, month, days) | 2 yrs 6 mos 17 ds |
| Occupation or Employer | x |
| Birthplace | Girdletree Md |
| Father's Name | John T Douglas |
| Father's Birthplace | Worcester |
| Mother's Name | Alie Martin |
| Mother's Birthplace | Girdletree Md |
| Informant (Relationship and Address) | John T Douglas; Girdletree Md |
| Date of Death | 5/17/1921 |
| Cause of Death and Time Attended by Doctor | enetro collitis; 3 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | SC Oglesby; Girdletree Md |
| Burial Place, Date, Undertaker, and Address | Scoolspring Cem; 5/18/1921; William S Williams; Snow Hill 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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