Record #5758 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	45
Certificate Number	13068
Name of Deceased	Waters Jr, John
Place of Death	Worcester
Town of Death	Pocomoke
Sex	M
Race	colored
Married, Widowed, or Single	x
Date of Birth	2/24/1920
Age (year, month, days)	1 yrs 6 mos 10 ds
Occupation or Employer	x
Birthplace	Worcester
Father's Name	John Waters
Father's Birthplace	Somerset
Mother's Name	Vila Mills
Mother's Birthplace	Worcester
Informant (Relationship and Address)	Viola Mills; Pocomoke
Date of Death	8/7/19/1921
Cause of Death and Time Attended by Doctor	acute exhaustion
Immediate, Secondary, or Contributory Cause and How Long	diarrhea; 3 ds
Physician and Address	TM Wislson; Pocomoke
Burial Place, Date, Undertaker, and Address	Halls Hill Pocomoke; 8/8/1921; Stevenson & Bros; Pocomoke
Length of Residence, Where Disease Contracted, Former Residence	–
Other Notes	–

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[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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Certificate Number 16224

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