| Page (PDF) | 11 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Deshields, Cathrine Jackson |
| Place of Death | Wicomico |
| Town of Death | Salisbury |
| Sex | F |
| Race | A.A. |
| Married, Widowed, or Single | Married |
| Date of Birth | 9/1886 |
| Age (year, month, days) | about 26 yrs 4 mos |
| Occupation or Employer | house work - housewife |
| Birthplace | Maryland |
| Father's Name | Charles Jackson |
| Father's Birthplace | Maryland |
| Mother's Name | Henerretta Jackson |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Mary E Jackson, Salisbury, Md |
| Date of Death | 1/27/1912 |
| Cause of Death and Time Attended by Doctor | Phthiaris Pneumonia, 6 mos |
| Immediate, Secondary, or Contributory Cause and How Long | Unhygienic surroundings |
| Physician and Address | J.W. Roberts, M.D., Salisbury, Md |
| Burial Place, Date, Undertaker, and Address | Houston Cemetery 1/30/1912 J.F. Stewart undertaker |
| Length of Residence, Where Disease Contracted, Former Residence | 26 yrs 4 mos; contracted at home |
| 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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