| Page (PDF) | 37 |
|---|---|
| Certificate Number | 12153 |
| Name of Deceased | Purnell, Jefferson col. |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | - |
| Date of Birth | 4/7/1915 |
| Age (year, month, days) | 3 mos |
| Occupation or Employer | - |
| Birthplace | Maryland |
| Father's Name | Joseph Purnell |
| Father's Birthplace | Maryland |
| Mother's Name | Carrie Jones |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Thomas Tingle; Berlin Md |
| Date of Death | 7/7/1915 |
| Cause of Death and Time Attended by Doctor | no dr in attendance |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | HL Holloway, reg.; Berlin |
| Burial Place, Date, Undertaker, and Address | Family Cemetary; 7/8/1915; 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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