Page (PDF) | 45 |
---|---|
Certificate Number | 14067 |
Name of Deceased | Purnell, Chas Milton |
Place of Death | Worcester |
Town of Death | Berlin |
Sex | M |
Race | col |
Married, Widowed, or Single | x |
Date of Birth | 1/13/1914 |
Age (year, month, days) | 11 mos 6 ds |
Occupation or Employer | - |
Birthplace | Md |
Father's Name | Claance Purnell |
Father's Birthplace | Maryland |
Mother's Name | Margie Jarman |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Isaac Jarman; Berlin Md |
Date of Death | 12/19/1914 |
Cause of Death and Time Attended by Doctor | ileo colitis |
Immediate, Secondary, or Contributory Cause and How Long | x |
Physician and Address | Chas R Law; Berlin Md |
Burial Place, Date, Undertaker, and Address | St Pauls Cemetery; 12/19/1914; JW Burbage & Bro; 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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