| Page (PDF) | 63 |
|---|---|
| Certificate Number | 9737 |
| Name of Deceased | Waters, Mollie |
| Place of Death | Somerset |
| Town of Death | Manokin |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | widow |
| Date of Birth | unknown |
| Age (year, month, days) | abt 56 |
| Occupation or Employer | housewife |
| Birthplace | Manokin |
| Father's Name | George Custis |
| Father's Birthplace | Manokin |
| Mother's Name | Maria Custis |
| Mother's Birthplace | Manokin |
| Informant (Relationship and Address) | Clinton Collins; Manokin Md |
| Date of Death | 6/22/1915 |
| Cause of Death and Time Attended by Doctor | intestinal obstruction; 5 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | GW Gill; Manokin Md |
| Burial Place, Date, Undertaker, and Address | Manokin; 6/23/1915; Herbert Wilson; Up Fairmount |
| 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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