Record #1021 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	31
Certificate Number	x
Name of Deceased	Maurice?, Flaurence E.
Place of Death	Wicomico
Town of Death	Rocking-a-walking
Sex	F
Race	A.A.
Married, Widowed, or Single	Married
Date of Birth	unknown
Age (year, month, days)	29 yr
Occupation or Employer	Housework
Birthplace	Maryland
Father's Name	James Waller
Father's Birthplace	Maryland
Mother's Name	Emmely Horney?
Mother's Birthplace	Maryland
Informant (Relationship and Address)	Elonzo Maruice
Date of Death	11/3/1912
Cause of Death and Time Attended by Doctor	Tuberculosis of lungs 5 mos; 10/21/1912 - 11/3/1912
Immediate, Secondary, or Contributory Cause and How Long	Hereditary Syphilis, 3 months
Physician and Address	J. W. Roberts Salisbury Md
Burial Place, Date, Undertaker, and Address	Rockawalking 11/4/1912 J.R. Stewart; Salisbury, Md
Length of Residence, Where Disease Contracted, Former Residence	29 yrs
Other Notes	–

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[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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