Page (PDF) | 15 |
---|---|
Certificate Number | 19764 |
Name of Deceased | Holden or Coulbourne, infant |
Place of Death | Somerset |
Town of Death | Marion |
Sex | F |
Race | col |
Married, Widowed, or Single | infant |
Date of Birth | 9/22/1915 |
Age (year, month, days) | 2 mos 6 ds |
Occupation or Employer | x |
Birthplace | Md |
Father's Name | George Coulbourne |
Father's Birthplace | VA |
Mother's Name | Josephine Byrd |
Mother's Birthplace | Md |
Informant (Relationship and Address) | Wm Holden; Marion |
Date of Death | 11/28/1915 |
Cause of Death and Time Attended by Doctor | child sickley since birth; no dr in attendance |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | FT Adams, Local Reg; Marion |
Burial Place, Date, Undertaker, and Address | Ebenezer; 11/29/1915; Tilghman & Ward; Marian |
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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