Record #3626 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	3
Certificate Number	25927
Name of Deceased	Blake, Annie M
Place of Death	Wicomico
Town of Death	Delmar RD
Sex	F
Race	black
Married, Widowed, or Single	single
Date of Birth	8/10/1901
Age (year, month, days)	16 yrs 3 mos 11 ds
Occupation or Employer	house work
Birthplace	Delaware
Father's Name	John Blake
Father's Birthplace	Md
Mother's Name	Nellie Parsons
Mother's Birthplace	Md
Informant (Relationship and Address)	Daniel Farlow; Delmar RD
Date of Death	11/21/1917
Cause of Death and Time Attended by Doctor	consumption
Immediate, Secondary, or Contributory Cause and How Long	–
Physician and Address	EJ Simpson; Laurel De
Burial Place, Date, Undertaker, and Address	Parsonsbury; 11/23/1917; EB F Harley O Riggin; Laurel Del
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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