| Page (PDF) | 47 |
|---|---|
| Certificate Number | 6820 |
| Name of Deceased | Waters, Charley |
| Place of Death | Somerset |
| Town of Death | Kingston, Md |
| Sex | M |
| Race | negro |
| Married, Widowed, or Single | single |
| Date of Birth | 6/4/1916 |
| Age (year, month, days) | 1 yrs 10 mos 234 ds |
| Occupation or Employer | not any |
| Birthplace | Kingston Md |
| Father's Name | Emory Waters |
| Father's Birthplace | Kingston |
| Mother's Name | Bessie Shreeves |
| Mother's Birthplace | Cottage Grove, Md |
| Informant (Relationship and Address) | Emory Waters; Kingston Md |
| Date of Death | 4/28/1918 |
| Cause of Death and Time Attended by Doctor | peritonitis cause unknown; 14 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Wj Barkley; Crisfield |
| Burial Place, Date, Undertaker, and Address | home cemetery; 4/29/1918; Tilghman & Ward; Marion |
| 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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