| Page (PDF) | 33 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Justice, Carnelia |
| Place of Death | Worcester |
| Town of Death | Kledg Grange |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Single |
| Date of Birth | 1/31/1911 |
| Age (year, month, days) | 2 mos 9 days |
| Occupation or Employer | - |
| Birthplace | Worcester Co Md |
| Father's Name | Alexander Justice |
| Father's Birthplace | Md |
| Mother's Name | Ida Ellen Jones |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Ida E. Justice, R.F.D. Pocomoke City |
| Date of Death | 8/30/1911 |
| Cause of Death and Time Attended by Doctor | Exhaustion, 4 days |
| Immediate, Secondary, or Contributory Cause and How Long | Entis Colitis, 1 mos |
| Physician and Address | F W Wilson, coroner Physician, Pocomoke City |
| Burial Place, Date, Undertaker, and Address | x |
| 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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