Record #4108 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922
| Page (PDF) | 43 |
|---|---|
| Certificate Number | 34932 |
| Name of Deceased | Coulbourne, Robert |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | M |
| Race | negro |
| Married, Widowed, or Single | widowed |
| Date of Birth | abt 1861 |
| Age (year, month, days) | abt 57 |
| Occupation or Employer | oyster packer or opener |
| Birthplace | Somerset |
| Father's Name | unknown |
| Father's Birthplace | unknown |
| Mother's Name | Leah Miles |
| Mother's Birthplace | Marion Md |
| Informant (Relationship and Address) | Jame Grant; Crisfield |
| Date of Death | 10/27/1918 |
| Cause of Death and Time Attended by Doctor | mitral insufficiency |
| Immediate, Secondary, or Contributory Cause and How Long | asthma; 10 yrs |
| Physician and Address | WJ Bartkley; 309 W Md Ave |
| Burial Place, Date, Undertaker, and Address | Asbury Cemetery; 10/28/1918; Tilghman & ward; Marion Sta, 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.