| Page (PDF) | 31 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Waters, Lena |
| Place of Death | Worcester |
| Town of Death | Snow Hill |
| Sex | F |
| Race | Negro |
| Married, Widowed, or Single | S |
| Date of Birth | 4/4/1911 |
| Age (year, month, days) | 15 yrs |
| Occupation or Employer | housework |
| Birthplace | Snow Hill, Md |
| Father's Name | Major Waters |
| Father's Birthplace | Snow Hill, Md |
| Mother's Name | Annie Collier |
| Mother's Birthplace | Snow Hill, Md |
| Informant (Relationship and Address) | Henry Hayward, Snow Hill, Md |
| Date of Death | 4/4/1911 |
| Cause of Death and Time Attended by Doctor | Acute nefritis, 1 mos |
| Immediate, Secondary, or Contributory Cause and How Long | - |
| Physician and Address | John L. Riley M.D., Snow Hill, Md |
| Burial Place, Date, Undertaker, and Address | Scoolspring Cemetery 4/6/1911 William S. William undertakers, Snow Hill, 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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