| Page (PDF) | 29 |
|---|---|
| Certificate Number | 5145 |
| Name of Deceased | Jones, Mary Adeline |
| Place of Death | Somerset |
| Town of Death | Dames Quarter |
| Sex | F |
| Race | B |
| Married, Widowed, or Single | married |
| Date of Birth | 1889 |
| Age (year, month, days) | 25 yrs |
| Occupation or Employer | housewife |
| Birthplace | Md |
| Father's Name | William R Van Buren |
| Father's Birthplace | Md |
| Mother's Name | Kisanna Wilson |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Harvey Van Buren; Dames Quarter |
| Date of Death | 5/21/1914 |
| Cause of Death and Time Attended by Doctor | pulmonary tuberculosis |
| Immediate, Secondary, or Contributory Cause and How Long | emaciation & exhaustion |
| Physician and Address | EP Simpson; Chance, Md |
| Burial Place, Date, Undertaker, and Address | Dames 1/4; May 22/1914; TW Hendry; Deals Island |
| 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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