Record #5100 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922

Page (PDF)	37
Certificate Number	9128
Name of Deceased	White, William J
Place of Death	Somerset
Town of Death	Champ
Sex	M
Race	col
Married, Widowed, or Single	married
Date of Birth	1879
Age (year, month, days)	abt 41 yrs
Occupation or Employer	ship caulker & carpenter
Birthplace	Md
Father's Name	William White
Father's Birthplace	Md
Mother's Name	Julie Coulbourne
Mother's Birthplace	Md
Informant (Relationship and Address)	John R Muir; Oriole Md
Date of Death	5/25/1920; tuberculosis of lungs
Cause of Death and Time Attended by Doctor	–
Immediate, Secondary, or Contributory Cause and How Long	–
Physician and Address	HA Barnes; Princess Anne Md
Burial Place, Date, Undertaker, and Address	Champ Md; 5/27/1920; Jas I Dennis; Pr Anne Md
Length of Residence, Where Disease Contracted, Former Residence	–
Other Notes	–

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[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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