| Page (PDF) | 23 |
|---|---|
| Certificate Number | 9911 |
| Name of Deceased | Miller, Edward |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | single |
| Date of Birth | 3/1/1891 |
| Age (year, month, days) | 30 yrs 3 mos 10 ds |
| Occupation or Employer | labor work in ink factory |
| Birthplace | Penn |
| Father's Name | Joseph Miller |
| Father's Birthplace | Md |
| Mother's Name | Ellen Miller |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Ellen Smack; Berlin Md |
| Date of Death | 6/11/1921 |
| Cause of Death and Time Attended by Doctor | chronic interstatial nephritis; 4 mos 5 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | CA Holland; Berlin Md |
| Burial Place, Date, Undertaker, and Address | Germantown; 6/15/1921; JW Burbage & Sons; Berlin 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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