| Page (PDF) | 69 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Waters, Balize |
| Place of Death | Worcester |
| Town of Death | Pocomoke |
| Sex | F |
| Race | colord |
| Married, Widowed, or Single | Infant |
| Date of Birth | 4/15/1911 |
| Age (year, month, days) | 3 mos |
| Occupation or Employer | Infant |
| Birthplace | Pocomoke City |
| Father's Name | Daniel Waters |
| Father's Birthplace | Somerset Co |
| Mother's Name | Cassie Quinn |
| Mother's Birthplace | Pocomoke City |
| Informant (Relationship and Address) | Saml S. Quinn, Pocomoke City |
| Date of Death | 7/29/1911 |
| Cause of Death and Time Attended by Doctor | Cholera infantum, 2 mos |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Saml S. Quinn, M.D., Pocomoke City |
| Burial Place, Date, Undertaker, and Address | Halls Hill 7/30/1911 Chas Ballard 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.
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