| Page (PDF) | 61 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Smith, Annie |
| Place of Death | Somerset |
| Town of Death | Mt Vernon |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | M |
| Date of Birth | – |
| Age (year, month, days) | 37 yrs |
| Occupation or Employer | Housewife |
| Birthplace | Somerset Co. |
| Father's Name | Adam Harris |
| Father's Birthplace | Somerset Co |
| Mother's Name | Caroline Harris |
| Mother's Birthplace | Somerset Co |
| Informant (Relationship and Address) | John W. Smith, husband |
| Date of Death | 10/24/1910 |
| Cause of Death and Time Attended by Doctor | - |
| Immediate, Secondary, or Contributory Cause and How Long | tubercolosis of the lungs, 1 year |
| Physician and Address | H. A. Barnes, MD, Princess Anne, Md |
| Burial Place, Date, Undertaker, and Address | – |
| Length of Residence, Where Disease Contracted, Former Residence | - |
| Other Notes | John W Smith |
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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