| Page (PDF) | 9 |
|---|---|
| Certificate Number | 10383 |
| Name of Deceased | Ellis, Dallie Crockett |
| Place of Death | Wicomico |
| Town of Death | near Fruitland |
| Sex | F |
| Race | Afro American |
| Married, Widowed, or Single | married |
| Date of Birth | 11/10/1887 |
| Age (year, month, days) | 29 yrs 7 mos 8 ds |
| Occupation or Employer | house work |
| Birthplace | Md |
| Father's Name | John Crockett |
| Father's Birthplace | Delaware Co Pa |
| Mother's Name | Ellen Brittingham |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Noah T Ellis; Fruitland, Md RD 2 |
| Date of Death | 6/18/1917 |
| Cause of Death and Time Attended by Doctor | pueriel septicemia |
| Immediate, Secondary, or Contributory Cause and How Long | child birth |
| Physician and Address | WO Daisy; Fruitland Md |
| Burial Place, Date, Undertaker, and Address | Laurel, Del; 6/20/1917; Holloway & Bro; Salisbury 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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