| Page (PDF) | 29 |
|---|---|
| Certificate Number | 12896 |
| Name of Deceased | Miles, Ellen T J |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | Married |
| Date of Birth | 11/3/1879 |
| Age (year, month, days) | 42 yrs 9 mos 12 ds |
| Occupation or Employer | house wife |
| Birthplace | Princess Anne Md |
| Father's Name | Joseph Jones |
| Father's Birthplace | Md |
| Mother's Name | Leah Polke |
| Mother's Birthplace | Princess Anne Md |
| Informant (Relationship and Address) | John H Jones; Princess Anne |
| Date of Death | 8/9/1921 |
| Cause of Death and Time Attended by Doctor | chronic nephritis |
| Immediate, Secondary, or Contributory Cause and How Long | paralysis |
| Physician and Address | TJ Smith; Pr Anne Md |
| Burial Place, Date, Undertaker, and Address | Greenwood Cemetary; 8/10/1921; Wm Jones; P Anne |
| 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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