| Page (PDF) | 13 |
|---|---|
| Certificate Number | 5275 |
| Name of Deceased | Douglas, Annie Ella |
| Place of Death | Wicomico |
| Town of Death | Bivalve |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 9/16/1913 |
| Age (year, month, days) | 8 mos 5 ds |
| Occupation or Employer | none |
| Birthplace | Maryland |
| Father's Name | John T Doublas |
| Father's Birthplace | Nanticoke, Maryland |
| Mother's Name | Mary Handy |
| Mother's Birthplace | Tyaskin |
| Informant (Relationship and Address) | Jno T Doughless; Tyaskin Md |
| Date of Death | 5/20/1914 |
| Cause of Death and Time Attended by Doctor | [illegible] |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | RE Caldwell; Bivalve Md |
| Burial Place, Date, Undertaker, and Address | Tyaskin Md; 5/21/1914; CG Messick; Bivalve 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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