| Page (PDF) | 19 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Colbourne, Infant boy of Carrie |
| Place of Death | Somerset |
| Town of Death | Freemantown |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | Single |
| Date of Birth | 1/22/1912 |
| Age (year, month, days) | 20 days |
| Occupation or Employer | none |
| Birthplace | Somerset Co |
| Father's Name | Edwin Brittingham |
| Father's Birthplace | Freemantown |
| Mother's Name | Carrie Coulbourne |
| Mother's Birthplace | Freemantown |
| Informant (Relationship and Address) | George Williams, Freemantown |
| Date of Death | 2/11/1912 |
| Cause of Death and Time Attended by Doctor | Indigestion, 20 days |
| Immediate, Secondary, or Contributory Cause and How Long | Premature birth - 7 months Baby |
| Physician and Address | R R Norris, M.D. Crisfield, Md |
| Burial Place, Date, Undertaker, and Address | Freemantown Cemetery 2/12/1912 R J Adams undertaker, Crisfield |
| 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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