| Page (PDF) | 17 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Dashield, Annie |
| Place of Death | Wicomico |
| Town of Death | Salisbury |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Married |
| Date of Birth | I don't know |
| Age (year, month, days) | about 16 yrs |
| Occupation or Employer | Housewife |
| Birthplace | Wicomico County |
| Father's Name | Perry Wailes |
| Father's Birthplace | Maryland |
| Mother's Name | Lear Jane Parsons |
| Mother's Birthplace | Wicomico County |
| Informant (Relationship and Address) | Lear Jane Wailes, 612 Union St. |
| Date of Death | 8/18/1911 |
| Cause of Death and Time Attended by Doctor | Tuberculosis Plethuris (Don't know-I made one visit after other doctors had been attending |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | NTull, M.D. Salisbury, Md |
| Burial Place, Date, Undertaker, and Address | Salisbury Md 8/19/1911 Ge. C. Hill undertaker, Salisbury 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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