Record #3077 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	43
Certificate Number	22934
Name of Deceased	Smith, Relis May
Place of Death	Somerset
Town of Death	Venton
Sex	F
Race	colored
Married, Widowed, or Single	x
Date of Birth	1914
Age (year, month, days)	12 yrs 5 mos 23 ds
Occupation or Employer	unknown
Birthplace	Somerset
Father's Name	Thos J Smith
Father's Birthplace	Somerset
Mother's Name	Mary Waters
Mother's Birthplace	Somerset
Informant (Relationship and Address)	Jas I Dennis; Pr Anne Md
Date of Death	12/2/1916
Cause of Death and Time Attended by Doctor	no dr attended case; tuberculosis is the best information that I can get
Immediate, Secondary, or Contributory Cause and How Long	–
Physician and Address	TJ Smith; Princess Anne Md
Burial Place, Date, Undertaker, and Address	Venton; 12/6/1916; Jas I Dennis; Pr Anne
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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