| Page (PDF) | 1 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Anderson, Pauline |
| Place of Death | Somerset |
| Town of Death | Deals Island |
| Sex | F |
| Race | Black |
| Married, Widowed, or Single | Single |
| Date of Birth | 6/7/1900 |
| Age (year, month, days) | 12 yrs 5 mos 19 days |
| Occupation or Employer | School Girl |
| Birthplace | Maryland |
| Father's Name | James Anderson |
| Father's Birthplace | Somerset County Maryland |
| Mother's Name | Sarah Robertson |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | James Anderson, Deal's Island Md |
| Date of Death | 5/26/1912 |
| Cause of Death and Time Attended by Doctor | Tuberculolis - Dr sts. G. Alexander attended this girl in the fall 1911 - with La Grippe - as I am informed |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Geo B. Horner active Coroner, Deal's Island, Md |
| Burial Place, Date, Undertaker, and Address | Deals Island Md 5/28/1912 L. W. Hendry undertaker, Deals Island 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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