| Page (PDF) | 53 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Oden, Lena |
| Place of Death | Somerset |
| Town of Death | Crisfield 116 So 4 St |
| Sex | F |
| Race | Blk |
| Married, Widowed, or Single | Married |
| Date of Birth | 1/4/1890 |
| Age (year, month, days) | 22 yrs 1 mos 1 days |
| Occupation or Employer | Domestic - Housework |
| Birthplace | Crisfield, Md |
| Father's Name | James Coulbourn |
| Father's Birthplace | Md |
| Mother's Name | Jennie Jewett |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Mary Brown x her mark, Crisfield Md |
| Date of Death | 2/4/1912 |
| Cause of Death and Time Attended by Doctor | Pulmonary tuberculosis |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | W. H. Coulbourn, M.D., Crisfield, Md |
| Burial Place, Date, Undertaker, and Address | Asbury Cemetary 2/6/1912 R. J. Adams, Crisfield |
| 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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