| Page (PDF) | 57 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Roxburn, Charlotte |
| Place of Death | Somerset |
| Town of Death | Dames 1/4 |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Married |
| Date of Birth | 9/12/1892 |
| Age (year, month, days) | 40 yrs 11 mos 20 ds |
| Occupation or Employer | Housewife |
| Birthplace | Somerset Co |
| Father's Name | Arthur Roberts |
| Father's Birthplace | Somerset Co |
| Mother's Name | Nancy Jones |
| Mother's Birthplace | Somerset Co |
| Informant (Relationship and Address) | Massie Roxburn Dames 1/4 Md |
| Date of Death | 9/1/1912 |
| Cause of Death and Time Attended by Doctor | Tuburculosis 1/1/1912 - 9/1912 |
| Immediate, Secondary, or Contributory Cause and How Long | 8 mos |
| Physician and Address | S.J. Windsor Daves 1/4 Md |
| Burial Place, Date, Undertaker, and Address | Dames Quarter, Md 9/2/1912 L.G. Webster Deals Island |
| 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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