| Page (PDF) | 25 |
|---|---|
| Certificate Number | 16227 |
| Name of Deceased | Milbourn, Charles |
| Place of Death | Somerset |
| Town of Death | Marusmso |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | married |
| Date of Birth | not known |
| Age (year, month, days) | abt 80 yrs |
| Occupation or Employer | farm laborer |
| Birthplace | Somerset |
| Father's Name | Charles Jones |
| Father's Birthplace | Md |
| Mother's Name | Hariett Milbourn |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Will Milbourn; Marusmso PO Md |
| Date of Death | 10/15/1919 |
| Cause of Death and Time Attended by Doctor | acute dilation of heart |
| Immediate, Secondary, or Contributory Cause and How Long | chronic myocaditis ; nephritis; 4 yrs |
| Physician and Address | Geo C Coulbourn; Marion |
| Burial Place, Date, Undertaker, and Address | Ebenezer ME Church; 10/17/1919; 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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