| Page (PDF) | 91 |
|---|---|
| Certificate Number | 10072 |
| Name of Deceased | Waller, Arthur L |
| Place of Death | Wicomico |
| Town of Death | Salisbury; 301 Delaware St |
| Sex | M |
| Race | Afro American |
| Married, Widowed, or Single | single |
| Date of Birth | 9/18/1915 |
| Age (year, month, days) | 9 mos 15 ds |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | John W Waller |
| Father's Birthplace | Md |
| Mother's Name | Lillie Dashield |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | John Walter; Delaware St 301 |
| Date of Death | 7/3/1916 |
| Cause of Death and Time Attended by Doctor | cholera infantum; 11 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | JW Roberts; Salisbury |
| Burial Place, Date, Undertaker, and Address | Huston Cemetery; 7/4/1916; Holloway & Co; Salisbury |
| 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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