| Page (PDF) | 87 |
|---|---|
| Certificate Number | 1468 |
| Name of Deceased | Long, Annie |
| Place of Death | Somerset |
| Town of Death | near Pocomoke |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | married |
| Date of Birth | abt 1851 |
| Age (year, month, days) | abt 68 yrs |
| Occupation or Employer | house wife |
| Birthplace | Somerset |
| Father's Name | Frank Kerself [Kersey?] |
| Father's Birthplace | Somerset |
| Mother's Name | Violet Kersey |
| Mother's Birthplace | Somerset |
| Informant (Relationship and Address) | Adison Kersey; Pocomoke City |
| Date of Death | 1/17/1919 |
| Cause of Death and Time Attended by Doctor | coma immediate remote paralysis has been paralysed for abt six years |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Isaac T Costen; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Tindleys Chapel; 1/19/1919; Balalrd & Bro; Pocomoke city |
| 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.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.