| Page (PDF) | 35 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Holland, Charles |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | - |
| Date of Birth | 6/18/1912 |
| Age (year, month, days) | 7 mos |
| Occupation or Employer | – |
| Birthplace | Maryland |
| Father's Name | Thomas Holland |
| Father's Birthplace | Maryland |
| Mother's Name | Ellen Pitts |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Ellen Holland, Berlin, Md |
| Date of Death | 8/16/1912 |
| Cause of Death and Time Attended by Doctor | Broncho Pneumonia, 8/12/1912-8/16/1912 |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Chas R. Adams?; Berlin |
| Burial Place, Date, Undertaker, and Address | Berlin, Md 8/17/1912 Curtis J. Evans |
| 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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