| Page (PDF) | 61 |
|---|---|
| Certificate Number | 6055 |
| Name of Deceased | White, Katie |
| Place of Death | Somerset |
| Town of Death | Champ |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | married |
| Date of Birth | 4/9/1890 |
| Age (year, month, days) | 24 yrs 2 mos aa ds |
| Occupation or Employer | housework |
| Birthplace | Oriole Md |
| Father's Name | Edward Maddox |
| Father's Birthplace | Oriole Md |
| Mother's Name | Lottie Wilson |
| Mother's Birthplace | Oriole Md |
| Informant (Relationship and Address) | Geo White; Champ Md |
| Date of Death | 6/20/1914 |
| Cause of Death and Time Attended by Doctor | due to accidental abrasion of finger on tin can; septicenna |
| Immediate, Secondary, or Contributory Cause and How Long | syncope |
| Physician and Address | John T Ruby; Oriole Md |
| Burial Place, Date, Undertaker, and Address | Oriol; 6/21/1914; James I Dennis; P Anne 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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