| Page (PDF) | 37 |
|---|---|
| Certificate Number | 10234 |
| Name of Deceased | Jackson, Hattie |
| Place of Death | Somerset |
| Town of Death | Marion |
| Sex | F |
| Race | black |
| Married, Widowed, or Single | married |
| Date of Birth | don't know |
| Age (year, month, days) | abt 50 |
| Occupation or Employer | housework |
| Birthplace | Somerset |
| Father's Name | Chas Milbourne |
| Father's Birthplace | Maryland |
| Mother's Name | Emeline Coulbourn |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Christopher Jackson; Marion |
| Date of Death | 10/4/1914 |
| Cause of Death and Time Attended by Doctor | exhaustion |
| Immediate, Secondary, or Contributory Cause and How Long | lobar pneumonia; 6 ds |
| Physician and Address | IAB Allen; Marion |
| Burial Place, Date, Undertaker, and Address | Ebenezer; 9/6/1914; AW Dixon; Marion |
| 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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