| Page (PDF) | 47 |
|---|---|
| Certificate Number | 36076 |
| Name of Deceased | Smiley, Jena |
| Place of Death | Wicomico |
| Town of Death | near Sharptown |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | married |
| Date of Birth | 5/24/1884 |
| Age (year, month, days) | 33 yrs 7 mos 5 ds |
| Occupation or Employer | housewife |
| Birthplace | Sharptown |
| Father's Name | Jerry Fooks |
| Father's Birthplace | Md |
| Mother's Name | Hennie Mollock |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Underwood Smiley; Sharptown |
| Date of Death | 12/29/1917 |
| Cause of Death and Time Attended by Doctor | pulmonary tuberculosis; 1 yr 6 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | LL Gordy; Sharptown Md |
| Burial Place, Date, Undertaker, and Address | Zion Church; 1/1/1918; WD Graveworth Bro; Sharptown 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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