Record #923 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922
| Page (PDF) | 63 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Smith, Annie |
| Place of Death | Wicomico |
| Town of Death | Salisbury |
| Sex | F |
| Race | A.A. |
| Married, Widowed, or Single | Widowed |
| Date of Birth | unknown |
| Age (year, month, days) | abt 80 |
| Occupation or Employer | invalid |
| Birthplace | Maryland |
| Father's Name | Unknown |
| Father's Birthplace | unknown |
| Mother's Name | Annie Johnson |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Mrs. Ellen Deshield, Salisbury, Md |
| Date of Death | 8/10/1912 |
| Cause of Death and Time Attended by Doctor | Harmaflagia?? 5/11/12-8/10/1912 |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | J. W. Roberts, M.D. Salisbury, Md |
| Burial Place, Date, Undertaker, and Address | Houston Cemetery 8.11.1912 J.T Stewart |
| 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.