| Page (PDF) | 5 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Brittingham, Clara |
| Place of Death | Worcester |
| Town of Death | Beaver Dam |
| Sex | F |
| Race | Colored |
| Married, Widowed, or Single | Married |
| Date of Birth | 1885 |
| Age (year, month, days) | 27 yrs |
| Occupation or Employer | House |
| Birthplace | Md |
| Father's Name | Scott Boston |
| Father's Birthplace | Md |
| Mother's Name | Martha Boston |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Scott Boston, Beaver Dam, Md |
| Date of Death | 4/3/1912 |
| Cause of Death and Time Attended by Doctor | Exhaustion, 2 mos |
| Immediate, Secondary, or Contributory Cause and How Long | Phthisis, 1 yr |
| Physician and Address | J W Wilson, coroner physir |
| Burial Place, Date, Undertaker, and Address | St James Church 4/4/1912 Covington undertaker, New Church, VA |
| 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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