| Page (PDF) | 91 |
|---|---|
| Certificate Number | 15747 |
| Name of Deceased | Waters, Madeline |
| Place of Death | Somerset |
| Town of Death | Upper Fairmount |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 5/9/1912 |
| Age (year, month, days) | 6 yrs 3 mos 7 ds |
| Occupation or Employer | none |
| Birthplace | Somerset |
| Father's Name | Adolphus Watetrs |
| Father's Birthplace | Somerset |
| Mother's Name | Minnie Handy |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Minnie Waters; Uppr Fairmount |
| Date of Death | 8/17/1918 |
| Cause of Death and Time Attended by Doctor | tuberculosis of the lungs; 7 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Edward S Miles; Upper Fairmount, Md |
| Burial Place, Date, Undertaker, and Address | Greenmount; 8/18/1918; Herbert Wilson; Up Fairmount |
| Length of Residence, Where Disease Contracted, Former Residence | 6 yrs 3 mos 7 ds |
| 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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