| Page (PDF) | 1 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Anderson, Chas Henry |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | - |
| Date of Birth | 8/9/1912 |
| Age (year, month, days) | 7 days |
| Occupation or Employer | Infant |
| Birthplace | Somerset Co. |
| Father's Name | Talbot Anderson |
| Father's Birthplace | Som. Co. |
| Mother's Name | Ida Done |
| Mother's Birthplace | Som. Co. |
| Informant (Relationship and Address) | Talbot Anderson, Princess Anne |
| Date of Death | 8/16/1912 |
| Cause of Death and Time Attended by Doctor | Hydrocephalus |
| Immediate, Secondary, or Contributory Cause and How Long | Asthemia |
| Physician and Address | Chas. W. Wainwright, M.D., Pr Anne Md |
| Burial Place, Date, Undertaker, and Address | Union Church 8/17/1912 James T Dennis, Pr Anne 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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