| Page (PDF) | 23 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Fields, Amelia A |
| Place of Death | Somerset |
| Town of Death | Kingston |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Widowed |
| Date of Birth | 1/21/1858 |
| Age (year, month, days) | 54 yrs 1 mos 11 days |
| Occupation or Employer | Housewife |
| Birthplace | Somerset Co Md |
| Father's Name | George H. Potter |
| Father's Birthplace | Somerset Co Md |
| Mother's Name | Elizabeth Williams |
| Mother's Birthplace | Somerset Co Md |
| Informant (Relationship and Address) | John T Ballard + (his sign), Kingston Md |
| Date of Death | 3/1/1912 |
| Cause of Death and Time Attended by Doctor | Perotonitis ... from ... ulcer of rectum |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | R E Caldwell, M.D. Kingston, Md |
| Burial Place, Date, Undertaker, and Address | Kingston; 3/3/1912; AW Dixon; Marion |
| 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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