| Page (PDF) | 5 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Broughton, Lucille |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | F |
| Race | Blk |
| Married, Widowed, or Single | S |
| Date of Birth | – |
| Age (year, month, days) | 7 yrs |
| Occupation or Employer | Child |
| Birthplace | Crisfield, Md |
| Father's Name | Theodore Broughton |
| Father's Birthplace | Jamestown, Md |
| Mother's Name | Estella Stanley |
| Mother's Birthplace | Cambridge, MD |
| Informant (Relationship and Address) | Theo Broughton, father |
| Date of Death | 12/14/1910 |
| Cause of Death and Time Attended by Doctor | Menigitis, 4 days |
| Immediate, Secondary, or Contributory Cause and How Long | Aethenia |
| Physician and Address | W.H. Coulbourne, Crisfield, Md |
| Burial Place, Date, Undertaker, and Address | – |
| Length of Residence, Where Disease Contracted, Former Residence | Crisfield, Md |
| 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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