| Page (PDF) | 71 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Waters, Levin H |
| Place of Death | Somerset |
| Town of Death | Westover |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Married |
| Date of Birth | 1837 |
| Age (year, month, days) | abt 75 |
| Occupation or Employer | Farmer |
| Birthplace | Md |
| Father's Name | Henry Waters |
| Father's Birthplace | Md |
| Mother's Name | Nancy Waters |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Clay Cottman Westover |
| Date of Death | 9/15/1912 |
| Cause of Death and Time Attended by Doctor | don't know cause, Has been sick for year or more |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | T.J. Smith? Princess Anne |
| Burial Place, Date, Undertaker, and Address | Custis? 9/16/1912 James I Dennis Princess Anne, 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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