| Page (PDF) | 61 |
|---|---|
| Certificate Number | 6108 |
| Name of Deceased | Waller, Willis |
| Place of Death | Wicomico |
| Town of Death | Salisbury; P G Hospital |
| Sex | M |
| Race | collord |
| Married, Widowed, or Single | married |
| Date of Birth | 2/11/1894 |
| Age (year, month, days) | 25 yrs 2 mos 15 ds |
| Occupation or Employer | laborer |
| Birthplace | Delaware |
| Father's Name | James L Waller |
| Father's Birthplace | Delaware |
| Mother's Name | Sarah Thomas |
| Mother's Birthplace | Delaware |
| Informant (Relationship and Address) | Mary Waller; Laurel Del |
| Date of Death | 4/26/1919 |
| Cause of Death and Time Attended by Doctor | scalded (accidental) |
| Immediate, Secondary, or Contributory Cause and How Long | general shock & exhaustion; 7 ds |
| Physician and Address | JMcF Dick; Salisbury Md |
| Burial Place, Date, Undertaker, and Address | Mt Peace Laurel Del; 4/28/1919; EB JHO Riggin; Laurel Del |
| Length of Residence, Where Disease Contracted, Former Residence | 7 ds; residence Laurel Del |
| 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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