| Page (PDF) | 43 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Purnell, Charlotte E. |
| Place of Death | Worcester |
| Town of Death | Snow Hill |
| Sex | F |
| Race | Negro |
| Married, Widowed, or Single | M |
| Date of Birth | unknown, 1847 |
| Age (year, month, days) | 62 yrs |
| Occupation or Employer | Housewife |
| Birthplace | Berlin, Md |
| Father's Name | James Derrickson |
| Father's Birthplace | Berlin, Md |
| Mother's Name | Charlotte Clark |
| Mother's Birthplace | Berlin, Md |
| Informant (Relationship and Address) | Peter L. Henry, Snow Hill, Md |
| Date of Death | 3/24/1911 |
| Cause of Death and Time Attended by Doctor | Heart failure (Patient was dead on my arrival |
| Immediate, Secondary, or Contributory Cause and How Long | - |
| Physician and Address | John L. Riley M.D., Snow Hill, Md |
| Burial Place, Date, Undertaker, and Address | Ebenezer Cemetery, 3/26/1911, William S. Williams, Snow Hill , 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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