| Page (PDF) | 13 |
|---|---|
| Certificate Number | 8405 |
| Name of Deceased | Carroll, Cillia |
| Place of Death | Somerset |
| Town of Death | Kingston |
| Sex | F |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 1/22/1882 |
| Age (year, month, days) | abt 37 yrs |
| Occupation or Employer | h.w. |
| Birthplace | Maryland |
| Father's Name | Will Carroll |
| Father's Birthplace | Md |
| Mother's Name | Alva Potter |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Juke Freeman; Kingston |
| Date of Death | 6/19/1919 |
| Cause of Death and Time Attended by Doctor | acute dilation of heart |
| Immediate, Secondary, or Contributory Cause and How Long | chronnic intestinal nephritis, myocarditis 2 yrs |
| Physician and Address | George C Coulbourn; Marion |
| Burial Place, Date, Undertaker, and Address | Waters Chapel; 6/20/1919; AW Dixon; Marion 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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