| Page (PDF) | 33 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Purnell, Agnus |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | F |
| Race | Col. |
| Married, Widowed, or Single | Single |
| Date of Birth | 8/25/1905 |
| Age (year, month, days) | 6 yrs don't know |
| Occupation or Employer | - |
| Birthplace | Berlin, Md |
| Father's Name | Jacob G. Purnell |
| Father's Birthplace | Berlin, Md |
| Mother's Name | Juley Whaley |
| Mother's Birthplace | Berlin, Md |
| Informant (Relationship and Address) | Albert T. Purnell, Berlin, Md |
| Date of Death | 11/5/1911 |
| Cause of Death and Time Attended by Doctor | Whooping cough, 2 weeks |
| Immediate, Secondary, or Contributory Cause and How Long | Bronchial Pneumonia |
| Physician and Address | Ebe Holland, M.D., Berlin, Md |
| Burial Place, Date, Undertaker, and Address | St Paul's Cemetary 11/6/1911 J.W. Burbage & Bro undertaker, 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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