| Page (PDF) | 1 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Anderson, Andrew |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | Single |
| Date of Birth | 9/7/1890 |
| Age (year, month, days) | 21 yrs 5 mos |
| Occupation or Employer | Oyster shucker |
| Birthplace | Somerset Co |
| Father's Name | Thos Anderson |
| Father's Birthplace | Somerset Co |
| Mother's Name | Harrit Jarrel |
| Mother's Birthplace | Somerset Co |
| Informant (Relationship and Address) | Sam'l Kiney, Marion Md |
| Date of Death | 3/1/1912 |
| Cause of Death and Time Attended by Doctor | Consumption, 3 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | T. J. Smith, M.D., Princess Anne, Md (No Dr in attendance) |
| Burial Place, Date, Undertaker, and Address | Nr Marion 3/2/1912 AW Dixon undertaker, Marion |
| 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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