Page (PDF) | 39 |
---|---|
Certificate Number | – |
Name of Deceased | Ayers, Steverson, col [or Steverson Ayers?] |
Place of Death | Worcester |
Town of Death | Berlin Md |
Sex | M |
Race | Col. |
Married, Widowed, or Single | Widow |
Date of Birth | Birth and age |
Age (year, month, days) | unknown to us |
Occupation or Employer | - |
Birthplace | Maryland |
Father's Name | Unkown |
Father's Birthplace | Maryland |
Mother's Name | Unknown |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Jula Fassett, Berlin |
Date of Death | 4/20/1912 |
Cause of Death and Time Attended by Doctor | Chronic syphilis, Convolsions |
Immediate, Secondary, or Contributory Cause and How Long | Ureamia |
Physician and Address | Ebe Holland, M.D. , Berlin, Md |
Burial Place, Date, Undertaker, and Address | St Paul's Cemetery 4/21/1912 J.W. Burbage Bro undertaker, Berlin, 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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