| Page (PDF) | 11 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Broughton, Elloise |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | F |
| Race | Black |
| Married, Widowed, or Single | S |
| Date of Birth | 1/8/1911 |
| Age (year, month, days) | 2 yrs |
| Occupation or Employer | - |
| Birthplace | Somerset Co |
| Father's Name | Theodore Broughton |
| Father's Birthplace | Somerset Co |
| Mother's Name | Estella Stanley |
| Mother's Birthplace | Dorchester Co |
| Informant (Relationship and Address) | Thodoer Broughton, Crisfield, Md |
| Date of Death | 1/8/1911 |
| Cause of Death and Time Attended by Doctor | Pulmonary Tuberculosis & Tubercula Meningitis, 8 days |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | C E Collins, Crisfield, Md |
| Burial Place, Date, Undertaker, and Address | Lawsonia, Md, Jan. 10, 1911, R J Adam, undertaker Crisfield |
| Length of Residence, Where Disease Contracted, Former Residence | Where was disease contracted if not at place of death - From Mother Residence - Former |
| 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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