Page (PDF) | 3 |
---|---|
Certificate Number | 14297 |
Name of Deceased | Adkins, Belle |
Place of Death | Worcester |
Town of Death | near Snow Hill |
Sex | F |
Race | Afro American |
Married, Widowed, or Single | widow |
Date of Birth | 2/5/1905 |
Age (year, month, days) | 58 yrs |
Occupation or Employer | housework |
Birthplace | Md |
Father's Name | Samuel Shockley |
Father's Birthplace | Md |
Mother's Name | do not know |
Mother's Birthplace | do not know |
Informant (Relationship and Address) | Ina Trader; RD #4; Salisbury Md |
Date of Death | 9/9/1921 |
Cause of Death and Time Attended by Doctor | aortic regurgitation; 9 mos |
Immediate, Secondary, or Contributory Cause and How Long | chronic intestial nephritis; 1 yrs |
Physician and Address | Charles F Brown; Parsonsburg, Md |
Burial Place, Date, Undertaker, and Address | Salisbury Md; 9/11/1921; Holloway & co; Salisbury 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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