Record #115 from Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922
| Page (PDF) | 11 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Collins, Irving |
| Place of Death | Somerset |
| Town of Death | Princess Anne |
| Sex | M |
| Race | Colored |
| Married, Widowed, or Single | W |
| Date of Birth | – |
| Age (year, month, days) | 55 yr |
| Occupation or Employer | laborer |
| Birthplace | Md |
| Father's Name | unknown |
| Father's Birthplace | Md |
| Mother's Name | Unknown |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | John Jones, none |
| Date of Death | 9/5/1910 |
| Cause of Death and Time Attended by Doctor | Tuberculosis, unknown |
| Immediate, Secondary, or Contributory Cause and How Long | Exhaustion, 1 wk |
| Physician and Address | C.L. Beaver, MD, Princes Ann, Md |
| Burial Place, Date, Undertaker, and Address | – |
| Length of Residence, Where Disease Contracted, Former Residence | - |
| Other Notes | spouse: Betty Collins |
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.