| Page (PDF) | 79 |
|---|---|
| Certificate Number | 18068 |
| Name of Deceased | Waters, John W |
| Place of Death | Wicomico |
| Town of Death | Tyaskin |
| Sex | M |
| Race | C |
| Married, Widowed, or Single | widower |
| Date of Birth | x |
| Age (year, month, days) | abt 90 yrs |
| Occupation or Employer | farmer |
| Birthplace | Maryland |
| Father's Name | Nichelas? |
| Father's Birthplace | Md |
| Mother's Name | Sarah Waters |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | JW Waters; Tyaskin |
| Date of Death | 10/5/1915 |
| Cause of Death and Time Attended by Doctor | senility ; did not see or sttend this case ; 3 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | RE Caldwell; Bivalve Md |
| Burial Place, Date, Undertaker, and Address | MP Cemetry Wetipquin; 10/6/1915; 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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