| Page (PDF) | 1 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Bacon, Charlie Ervin |
| Place of Death | Worcester |
| Town of Death | Near Pocomoke |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Single |
| Date of Birth | 3/19/1912 |
| Age (year, month, days) | 3 mos 3 days |
| Occupation or Employer | - |
| Birthplace | Maryland |
| Father's Name | Joseph R Bacon |
| Father's Birthplace | Curtis Chapel Md |
| Mother's Name | Bertie Mills |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Rulia Mills, near Pocomoke |
| Date of Death | 5/22/1912 |
| Cause of Death and Time Attended by Doctor | Pneumonia lobar |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | A A Parker, M.D., Pocomoke City, Md |
| Burial Place, Date, Undertaker, and Address | Georgetown 5/24/1912 Chas Ballard undertaker, 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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