Page (PDF) | 63 |
---|---|
Certificate Number | – |
Name of Deceased | Waters, Sherman |
Place of Death | Somerset |
Town of Death | Upper Fairmount |
Sex | M |
Race | Colored |
Married, Widowed, or Single | Single |
Date of Birth | do not know |
Age (year, month, days) | 12 yrs 9 mos |
Occupation or Employer | None |
Birthplace | Somerset Co |
Father's Name | Sherman Waters |
Father's Birthplace | Som. Co. |
Mother's Name | Paulphina Waters |
Mother's Birthplace | Som. Co. |
Informant (Relationship and Address) | William Maddox, Manokin, Md |
Date of Death | 7/6/1912 |
Cause of Death and Time Attended by Doctor | Typhoid Fever, 10 days |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | G. W. Gill, M.D., Manokin, Md |
Burial Place, Date, Undertaker, and Address | Fairmount 7/7/1912 Herbert Wilson undertaker, Upper Fairmount |
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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