| Page (PDF) | 45 |
|---|---|
| Certificate Number | 34933 |
| Name of Deceased | Crippin, Everet |
| Place of Death | Somerset |
| Town of Death | near P Anne |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 5/8/1917 |
| Age (year, month, days) | 1 yrs 5 mos |
| Occupation or Employer | Md |
| Birthplace | Somerset |
| Father's Name | Geo Crippen |
| Father's Birthplace | Md |
| Mother's Name | Laura Corbin |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Lauara Corbin; Princess Anne RD1 |
| Date of Death | 10/9/1918 |
| Cause of Death and Time Attended by Doctor | broncho pneumonia |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | TJ Smith; Pr Anne, Md |
| Burial Place, Date, Undertaker, and Address | Conville?; 10/1/1918; Jas I Dennis; Pr Anne 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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