| Page (PDF) | 3 |
|---|---|
| Certificate Number | 16362 |
| Name of Deceased | Ayers, Charles, col |
| Place of Death | Worcester |
| Town of Death | Berlin |
| Sex | M |
| Race | col |
| Married, Widowed, or Single | x |
| Date of Birth | 7/11/1919 |
| Age (year, month, days) | 3 mos 4 ds |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Herman Ayers |
| Father's Birthplace | Md |
| Mother's Name | Maggie Quillin |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Maggie Quillin; Berlin Md |
| Date of Death | 10/14/1919 |
| Cause of Death and Time Attended by Doctor | entero colitis; 14 ds |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Ira C Tyndall; Berlin |
| Burial Place, Date, Undertaker, and Address | St Pauls; 10/15/1919; JW Burbage Sr; Berlin |
| 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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