Page (PDF) | 13 |
---|---|
Certificate Number | 0969 |
Name of Deceased | Colbourne, Martha Ellen |
Place of Death | Worcester |
Town of Death | near Pocomoke |
Sex | F |
Race | colored |
Married, Widowed, or Single | single |
Date of Birth | 9/26/1899 |
Age (year, month, days) | 21 yrs 3 mos 19 ds |
Occupation or Employer | house work at home |
Birthplace | Md |
Father's Name | Joseph Coulbourne |
Father's Birthplace | Md |
Mother's Name | Mary White |
Mother's Birthplace | Md |
Informant (Relationship and Address) | Joseph M Colbourne; Pcomoke City |
Date of Death | 1/14/1921 |
Cause of Death and Time Attended by Doctor | tuberculosis of lungs |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | NE Sarorius; Pocomike City |
Burial Place, Date, Undertaker, and Address | Trinity Cemetery near Pocomoke; 1/15/1921; Stevenson & Bros; Pocomoke |
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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