| Page (PDF) | 65 |
|---|---|
| Certificate Number | 9901 |
| Name of Deceased | Waters, Sallie |
| Place of Death | Somerset |
| Town of Death | Upper Fairmount |
| Sex | F |
| Race | blk |
| Married, Widowed, or Single | single |
| Date of Birth | 8/20/1893 |
| Age (year, month, days) | 21 yrs 9 mos 12 ds |
| Occupation or Employer | none |
| Birthplace | Maryland |
| Father's Name | Joshua Waters |
| Father's Birthplace | Maryland |
| Mother's Name | Carrie Maddox |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Stephen Maddox; Up Fairmount, Md |
| Date of Death | 6/25/1915 |
| Cause of Death and Time Attended by Doctor | woman in insane dept of Alms House for quite a while. Disease not known |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | TJ Smith; Princess Anne |
| Burial Place, Date, Undertaker, and Address | Fairmount; 6/26/1915; James I Dennis; P Anne |
| 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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