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Death Certificate for Sarah Ann Sampson (13 Oct 1832 - 24 Jan 1920)

Registration Dist. No. 36
Place of Death Baltimore
Village or City (Near) Freeland
Full Name Sarah Ann Sampson
Sex Female
Color or Race White
Single, Married, Widowed or Divorced Widowed
Date of Birth Oct. 13, 1832
Age 87 years, 3 months, 6 days
Occupation At home
Birthplace Pennsylvania
Name of Father William Beatty
Birthplace of Father Pennsylvania
Maiden Name of Mother Temperance McCann
Birthplace of Mother Pennsylvania
Informant M.G. Sampson
Address Maryland Line, Maryland
Date of Death January 24, 1920
I hereby certify that I attended the deceased from 1/19, 1920 to 1/24, 1920 that I last saw her alive on 1/23, 1920 and that death occurred on the date stated above at 5 a.m.
Cause of Death ? (unable to read)
Signed (unable to read)
Date 1/24, 1920
Address Shrewsbury, Pa
Place of Burial or Removal New Market Cemetery, Maryland Line, Md
Date of Burial Jan 28, 1920
Undertaker Hartensteins & ?
Address Bentley, Md

Submitted by Nancy Beatty

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