| Page (PDF) | 51 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Waller, Chas Wesley |
| Place of Death | Wicomico |
| Town of Death | Salisbury |
| Sex | M |
| Race | Cold |
| Married, Widowed, or Single | Single |
| Date of Birth | 7/28/1912 |
| Age (year, month, days) | 38 yr 8 mos |
| Occupation or Employer | Laborer |
| Birthplace | Md Wicomico |
| Father's Name | James Waller |
| Father's Birthplace | Md |
| Mother's Name | Emily Haney |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Hicks Waller, Mardela Md |
| Date of Death | 3/26/1912 |
| Cause of Death and Time Attended by Doctor | mill explosion - internal injuries and left thigh mangled, 4 hours |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | D B Potter, M.D., Salisbury, Md |
| Burial Place, Date, Undertaker, and Address | Mardela Md 3/29/1912A L Seabrase? undertaker, Mardela, 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.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.