| Page (PDF) | 15 |
|---|---|
| Certificate Number | 5407 |
| Name of Deceased | Doane, Mary M |
| Place of Death | Somerset |
| Town of Death | Kingston |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | child |
| Date of Birth | 4/5/1913 |
| Age (year, month, days) | 2 yrs 11 mos 28 ds |
| Occupation or Employer | child |
| Birthplace | Somerset |
| Father's Name | Samuel Doane |
| Father's Birthplace | Somerset |
| Mother's Name | Alexine Maddox |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Samuel Doane; Marion Md |
| Date of Death | 4/3/1916 |
| Cause of Death and Time Attended by Doctor | exhaustion from broncho pneumonia |
| Immediate, Secondary, or Contributory Cause and How Long | broncho pneumonia; 9 ds |
| Physician and Address | IAB Allen; Marion Md |
| Burial Place, Date, Undertaker, and Address | Watters; 4/5/1916; AW Dixon; Marion |
| 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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