| Page (PDF) | 43 |
|---|---|
| Certificate Number | 16030 |
| Name of Deceased | Moore, Eva |
| Place of Death | Wicomico |
| Town of Death | Salisbury; Peninsula Hosp. |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 1903 |
| Age (year, month, days) | 12 yrs |
| Occupation or Employer | school girl |
| Birthplace | Md |
| Father's Name | Noah Moore |
| Father's Birthplace | Md |
| Mother's Name | Annie Waters |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | CG Messick; Bivalve Md |
| Date of Death | 9/3/1915 |
| Cause of Death and Time Attended by Doctor | general peritonitis |
| Immediate, Secondary, or Contributory Cause and How Long | gangreanous appendicitis |
| Physician and Address | JMcDick; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | Wetipquin Md; 9/4/1915; CG Messick; Bivalve Md |
| Length of Residence, Where Disease Contracted, Former Residence | 8 ds; Wicomico |
| 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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