Page (PDF) | 25 |
---|---|
Certificate Number | – |
Name of Deceased | Fasett, Thelma |
Place of Death | Worcester |
Town of Death | Berlin, Md |
Sex | F |
Race | Collord |
Married, Widowed, or Single | S |
Date of Birth | 3/4/1911 |
Age (year, month, days) | 2 mos 24 days |
Occupation or Employer | - |
Birthplace | Worcester Co. |
Father's Name | Supposed Father - Geo. Williams |
Father's Birthplace | Worcester Co. |
Mother's Name | Faney Fassett |
Mother's Birthplace | Worcester Co. |
Informant (Relationship and Address) | Julian Fasett, Berlin, Md |
Date of Death | 6/28/1911 |
Cause of Death and Time Attended by Doctor | N Dr Called in (O.K. S G Jones) |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | - |
Burial Place, Date, Undertaker, and Address | Sts Pauls Cemetary 6/29/1911 J. W. Burbage & Bros undertaker, Berlin, 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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