| Page (PDF) | 45 |
|---|---|
| Certificate Number | x |
| Name of Deceased | Ross, Lula |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Single |
| Date of Birth | 5/25/1894 |
| Age (year, month, days) | 18 yrs 7 mos |
| Occupation or Employer | Housework |
| Birthplace | Maryland |
| Father's Name | Petie Purnell? |
| Father's Birthplace | Md |
| Mother's Name | Ida Ross |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Sineard Northam; RFD Pocomoke City |
| Date of Death | 12/25/1912 |
| Cause of Death and Time Attended by Doctor | exhaution? 12/11/1912 - 12/25/1912 14 ds |
| Immediate, Secondary, or Contributory Cause and How Long | pulunary tuberculosis 1 yr |
| Physician and Address | JWMelson; Pocomoke City |
| Burial Place, Date, Undertaker, and Address | Wardtown Church; 12/26/1912; F.A. Covington; New Church Va |
| 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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