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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