| Page (PDF) | 19 |
|---|---|
| Certificate Number | 4208 |
| Name of Deceased | Dashiell, ? |
| Place of Death | Wicomico |
| Town of Death | Clara |
| Sex | F |
| Race | c |
| Married, Widowed, or Single | single |
| Date of Birth | 10/1/1905 |
| Age (year, month, days) | 11 yrs 5 mos 12 ds |
| Occupation or Employer | school girl |
| Birthplace | Maryland |
| Father's Name | Joseph Dashiell |
| Father's Birthplace | Maryland |
| Mother's Name | Elizabeth Waters |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Anonitis Dashiell; Clara |
| Date of Death | 3/13/1916 |
| Cause of Death and Time Attended by Doctor | acute bronchitis; 13 ds |
| Immediate, Secondary, or Contributory Cause and How Long | bronchial pneumonia; 5 ds |
| Physician and Address | JR Wanner; Nanticoke Md |
| Burial Place, Date, Undertaker, and Address | Clara ME Cemetery; 3/15/1916; CG Messick; Bivalve |
| 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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