| Page (PDF) | 7 |
|---|---|
| Certificate Number | 19111 |
| Name of Deceased | Coulbourne, Mary |
| Place of Death | Worcester |
| Town of Death | near Pocomoke |
| Sex | F |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 9/12/1895 |
| Age (year, month, days) | 21 yrs 2 mos 2 ds |
| Occupation or Employer | helped at home |
| Birthplace | Worcester |
| Father's Name | Joseph Colbourne |
| Father's Birthplace | Worcester |
| Mother's Name | Mary Hester White |
| Mother's Birthplace | Worcester |
| Informant (Relationship and Address) | John W Colbourne; Pocomoke City |
| Date of Death | 11/10/1916 |
| Cause of Death and Time Attended by Doctor | pulmonary tuberculosis; 1 1/2 yrs |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | NE Saroroius; Pocomoke |
| Burial Place, Date, Undertaker, and Address | Trinity Cemetery near P City; 11/12/1916; Stevenson & Bros; 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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