| Page (PDF) | 63 |
|---|---|
| Certificate Number | 1188 |
| Name of Deceased | Waters, Frederic, infant no name |
| Place of Death | Somerset |
| Town of Death | near Eden RD2 |
| Sex | F |
| Race | Afro American |
| Married, Widowed, or Single | x |
| Date of Birth | 12/9/1917 |
| Age (year, month, days) | 22 ds |
| Occupation or Employer | x |
| Birthplace | Md |
| Father's Name | Frederic Waters |
| Father's Birthplace | Md |
| Mother's Name | Annie Wright |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Orlandr Bowland; Eden Md RD1 |
| Date of Death | 1/1/1918 |
| Cause of Death and Time Attended by Doctor | broncho pneumonia |
| Immediate, Secondary, or Contributory Cause and How Long | measles |
| Physician and Address | WO Daisey; Fruitland Md |
| Burial Place, Date, Undertaker, and Address | Ridge Church Somerset Co; 1/3/1918; Holloway & Co; 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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