Record #4161 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922 - Enduring Connections

Page (PDF)	27
Certificate Number	35783
Name of Deceased	Birckhead, Charles Monroe
Place of Death	Wicomico
Town of Death	near Hebron PO Bx 44
Sex	M
Race	AA
Married, Widowed, or Single	single
Date of Birth	10/25/1899
Age (year, month, days)	18 yrs 11 mos 20 ds
Occupation or Employer	mill hand
Birthplace	Maryland
Father's Name	Samuel Birckhead
Father's Birthplace	Maryland
Mother's Name	Hester Ballard
Mother's Birthplace	Maryland
Informant (Relationship and Address)	Mrs. Hester Birckhead; Hebron Md
Date of Death	10/15/1918
Cause of Death and Time Attended by Doctor	pneumonia
Immediate, Secondary, or Contributory Cause and How Long	La Grippe; 2 mos
Physician and Address	Geo W Betson Jr?; Quantico Md
Burial Place, Date, Undertaker, and Address	Rock-a-walkin' Md; 10/16/.1918; Jas F Stewart; 402 E Church St
Length of Residence, Where Disease Contracted, Former Residence	–
Other Notes	–

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[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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