CERTIFICATE OF DEATH
COMMONWEALTH OF VIGINIA

PLACE OF DEATH						File Number: 7719
County of 	ELIZABETH CITY				Registered No: 	
Town of 	Fort Monroe, Virginia 	Hospital: Station Hospital

FULL NAME: CLARENCE COLBERT CUNINGHAM
SEX: Male 	RACE: White		SINGLE/MARRIED: Married
WIFE NAME: Christina M. Cunningham	
DATE OF BIRTH: July 17, 1876	AGE: 44 Years and 9 months
OCCUPATION: Plumber, Fort Monroe, Virginia	
BIRTHPLACE: Old Point Comfort, Virginia

PARENTS:
FATHER: William C. Cunningham (Hampton, Virginia)
MOTHER: Catherine Holmer (Baltimore, Maryland)

 (Informant) S.S. Cunningham, Hampton, Virginia
DATE OF DEATH: April 18, 1921
PLACE OF BURIAL: Oakland Cemetery, Hampton, Virginia 
UNDERTAKER: H.S. Cunningham, Hampton, Virginia