| Page (PDF) | 25 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Horsey, Annie |
| Place of Death | Somerset |
| Town of Death | Marion, Md |
| Sex | F |
| Race | Black |
| Married, Widowed, or Single | Married |
| Date of Birth | 10/3/1911 |
| Age (year, month, days) | 43 yrs 1 mos 3 days |
| Occupation or Employer | Hosusework |
| Birthplace | Somerset Co Md |
| Father's Name | George Williams |
| Father's Birthplace | Maryland |
| Mother's Name | Amelia Dixon |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Wm R Collins, Marion Md |
| Date of Death | 10/3/1911 |
| Cause of Death and Time Attended by Doctor | Paralysis, 4 mos |
| Immediate, Secondary, or Contributory Cause and How Long | Rheumetism, 6 mos |
| Physician and Address | I.A.B. Allen, M.D., Marion, Md |
| Burial Place, Date, Undertaker, and Address | Marion Md 10/5/1911 A W Dixon undertaker, Marion, 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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