| Page (PDF) | 9 |
|---|---|
| Certificate Number | 7200 1/2 |
| Name of Deceased | Coulbourne, George Edwin |
| Place of Death | Somerset |
| Town of Death | Hopewell Md |
| Sex | M |
| Race | negro |
| Married, Widowed, or Single | married |
| Date of Birth | 9/10/1846 |
| Age (year, month, days) | 73 yrs 7 mos 10 ds |
| Occupation or Employer | farmer |
| Birthplace | near Hopewell Md |
| Father's Name | Levin Coulbourne |
| Father's Birthplace | near Hopewell Md |
| Mother's Name | Sarah Coulbourne |
| Mother's Birthplace | near Hopewell, Md |
| Informant (Relationship and Address) | WA Stevenson; Hopewell, Md |
| Date of Death | 4/20/1920 |
| Cause of Death and Time Attended by Doctor | double rupture or complete inguinal hernia; 10 yrs |
| Immediate, Secondary, or Contributory Cause and How Long | peritonitits; abt 2 ds |
| Physician and Address | WJ Barkley; 309 W Md Ave |
| Burial Place, Date, Undertaker, and Address | Hopewell; 4/22/1920; Chas Ward; Hopewell |
| 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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