| Page (PDF) | 67 |
|---|---|
| Certificate Number | 19211 |
| Name of Deceased | Waters, Homer |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | M |
| Race | B |
| Married, Widowed, or Single | single |
| Date of Birth | 5/14/1900 |
| Age (year, month, days) | 21 yrs 7 mos 13 ds |
| Occupation or Employer | farmer & sailor |
| Birthplace | Maryland |
| Father's Name | Wm J Waters |
| Father's Birthplace | Maryland |
| Mother's Name | Msariah Peraning? |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Wm J Waters; Crisfield |
| Date of Death | 12/27/1921 |
| Cause of Death and Time Attended by Doctor | gun shot wound of abdomen. Homicial: shot through stomach, live & kidney |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | CE Collins; x |
| Burial Place, Date, Undertaker, and Address | Westover Md; 12/28/1921; IS Lawson; Crisfield |
| 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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