Record #2991 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	81
Certificate Number	15906
Name of Deceased	Waters, Mathew
Place of Death	Somerset
Town of Death	Crisfield; Gen & Marine Hop
Sex	M
Race	colored
Married, Widowed, or Single	single
Date of Birth	2/1902
Age (year, month, days)	14 yrs 5 ds
Occupation or Employer	school boy
Birthplace	Tabert [Talbot]
Father's Name	Wm Jones
Father's Birthplace	Talbert [Talbot]
Mother's Name	Hattie E Jones
Mother's Birthplace	Hopewell
Informant (Relationship and Address)	Maria Waters; Hopewell Md
Date of Death	10/6/1916
Cause of Death and Time Attended by Doctor	peritonitis
Immediate, Secondary, or Contributory Cause and How Long	supperative appendicitis
Physician and Address	RR Norris; Crisfield
Burial Place, Date, Undertaker, and Address	Asbury; 10/8/1916; Garnet O Brown; Crisfield
Length of Residence, Where Disease Contracted, Former Residence	–
Other Notes	–

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[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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