Page (PDF) | 77 |
---|---|
Certificate Number | 4424 |
Name of Deceased | Paulon, Lena |
Place of Death | Wicomico |
Town of Death | Salisbury; PG Hospital |
Sex | F |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | unknown |
Age (year, month, days) | abt 27 yrs |
Occupation or Employer | servant |
Birthplace | Virginia |
Father's Name | unknown |
Father's Birthplace | unknown |
Mother's Name | unknown |
Mother's Birthplace | unknown |
Informant (Relationship and Address) | PG Hospital; Salisbury Md |
Date of Death | 3/20/1921 |
Cause of Death and Time Attended by Doctor | tuberculosis peritonitis; unknown |
Immediate, Secondary, or Contributory Cause and How Long | exhaustion & starvation; 10 ds |
Physician and Address | JMcF Dick; Salisbury Md |
Burial Place, Date, Undertaker, and Address | Firsst Baptist Cemetery; 3/22/1921; JF Stewart; Salisbury Md |
Length of Residence, Where Disease Contracted, Former Residence | 11 ds in state; residence Accomac Co Va |
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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