| Page (PDF) | 39 |
|---|---|
| Certificate Number | 4274 |
| Name of Deceased | Milbourn, Kerman |
| Place of Death | Somerset |
| Town of Death | Crisfield |
| Sex | M |
| Race | B |
| Married, Widowed, or Single | x |
| Date of Birth | 8/20/1920 |
| Age (year, month, days) | 6 mos 10 ds |
| Occupation or Employer | x |
| Birthplace | Somerset |
| Father's Name | Willie Milbourn |
| Father's Birthplace | Marion |
| Mother's Name | Ida White |
| Mother's Birthplace | Marion |
| Informant (Relationship and Address) | father; Marion Station |
| Date of Death | 3/1/1921 |
| Cause of Death and Time Attended by Doctor | colitis |
| Immediate, Secondary, or Contributory Cause and How Long | improper food |
| Physician and Address | CE Ward; Crisfield |
| Burial Place, Date, Undertaker, and Address | Branch Cemetary; 3/2/1921; Tilghman & Ward; Marion Station Md |
| 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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