Page (PDF) | 49 |
---|---|
Certificate Number | – |
Name of Deceased | Sampson, Rosa Lee (inf) |
Place of Death | Worcester |
Town of Death | Pocomoke City |
Sex | F |
Race | Black |
Married, Widowed, or Single | Single |
Date of Birth | 2/13/1910 |
Age (year, month, days) | 4 mos 1 day |
Occupation or Employer | - |
Birthplace | New Jersey |
Father's Name | Unknown |
Father's Birthplace | X |
Mother's Name | Rosa Lee Sampson |
Mother's Birthplace | New Jersey |
Informant (Relationship and Address) | Jane Maddox; Pocomoke |
Date of Death | 6/12/1911 |
Cause of Death and Time Attended by Doctor | Marasmus & Actual Starvation, 2 mos |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | A A Parker, M.D., Pocomoke City, Md |
Burial Place, Date, Undertaker, and Address | Halls Hill 6/12/1911 Stevenson Bros undertaker, Pocomoke |
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.