| Page (PDF) | 53 |
|---|---|
| Certificate Number | 19133 |
| Name of Deceased | White, Charlotte |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | x |
| Date of Birth | 11/15/1916 |
| Age (year, month, days) | 5 ds |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Chas H White |
| Father's Birthplace | Md |
| Mother's Name | vilo Smack |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | chas H White; Berlin |
| Date of Death | 11/19/1916 |
| Cause of Death and Time Attended by Doctor | broncho pneumonia |
| Immediate, Secondary, or Contributory Cause and How Long | atalectosis |
| Physician and Address | Chas R Law; Berlin |
| Burial Place, Date, Undertaker, and Address | Germantown; 11/20/1916; JW Burbage & Bro; Berlin |
| 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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