| Page (PDF) | 5 |
|---|---|
| Certificate Number | 12884 |
| Name of Deceased | Carroll, Inena |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | married |
| Date of Birth | 12/22/1896 |
| Age (year, month, days) | 25 yrs |
| Occupation or Employer | housework |
| Birthplace | Somerset |
| Father's Name | Irving Collins |
| Father's Birthplace | Somerset |
| Mother's Name | Gertrude Towson? |
| Mother's Birthplace | Virginia |
| Informant (Relationship and Address) | John Wm Carroll; Princess Anne |
| Date of Death | 8/28/1921 |
| Cause of Death and Time Attended by Doctor | tuberculosis/ peritoncal; 2 mos |
| Immediate, Secondary, or Contributory Cause and How Long | child birth |
| Physician and Address | Chas W Wainwright; Princess Anne Md |
| Burial Place, Date, Undertaker, and Address | JW Cemetary; 8/30/1921; William James; P Anne 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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