| Page (PDF) | 33 |
|---|---|
| Certificate Number | 5644 |
| Name of Deceased | Molock, Bertha Etta |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | married |
| Date of Birth | 8/4/1890 |
| Age (year, month, days) | 25 yrs 8 mos 23 ds |
| Occupation or Employer | housewife |
| Birthplace | Maryland |
| Father's Name | Geo Riley |
| Father's Birthplace | Maryland |
| Mother's Name | Maggie Mills |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | HC Molock; Berlin |
| Date of Death | 4/27/1916 |
| Cause of Death and Time Attended by Doctor | intestinal & pulmonary tuberculosis |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | AW Purnell; Berlin |
| Burial Place, Date, Undertaker, and Address | St Pauls Cemetery; 4/29/1916; JW Burbage & Bros; Berlin 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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