| Page (PDF) | 27 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Henry, Chas W. |
| Place of Death | Worcester |
| Town of Death | Berlin, Md |
| Sex | M |
| Race | Col. |
| Married, Widowed, or Single | Married |
| Date of Birth | 11/11/1890 |
| Age (year, month, days) | 21 yrs 2 mos 20 days |
| Occupation or Employer | Day Labor |
| Birthplace | Maryland |
| Father's Name | Solman Henry |
| Father's Birthplace | Maryland |
| Mother's Name | Annie K. Robbins |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | Emory Henry, Berlin, Md |
| Date of Death | 2/1/1912 |
| Cause of Death and Time Attended by Doctor | tyfoid feaver |
| Immediate, Secondary, or Contributory Cause and How Long | Hemorhage of bowels (performation) |
| Physician and Address | Ira C Tyndall, Berlin, Md |
| Burial Place, Date, Undertaker, and Address | Germantown Cemt 2/3/1912 J.W. Burbage & Bro undertaker, Berlin, 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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