| Page (PDF) | 61 |
|---|---|
| Certificate Number | 11538 |
| Name of Deceased | Polk, Annie V |
| Place of Death | Wicomico |
| Town of Death | Salisbury; PG Hospital |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | single |
| Date of Birth | 1884 |
| Age (year, month, days) | 37 yrs |
| Occupation or Employer | housework |
| Birthplace | Delaware |
| Father's Name | George Ross |
| Father's Birthplace | Delaware |
| Mother's Name | Mary Ann Ross |
| Mother's Birthplace | Delaware |
| Informant (Relationship and Address) | Noah Kionny; Bridgeville Delaware |
| Date of Death | 7/7/1921 |
| Cause of Death and Time Attended by Doctor | diabeties millitus |
| Immediate, Secondary, or Contributory Cause and How Long | coma & pulmonary oedema; 2 ds |
| Physician and Address | JMcF Dick; Salisbury |
| Burial Place, Date, Undertaker, and Address | Bridgeville Delaware; 7/19/1921;HE Hardesty; Bridgeville De |
| Length of Residence, Where Disease Contracted, Former Residence | 24 hrs; residence: Sussex Co Del |
| 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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