| Page (PDF) | 3 |
|---|---|
| Certificate Number | 6985 |
| Name of Deceased | Collick, Relli May: |
| Place of Death | Worcester |
| Town of Death | Stockton |
| Sex | F |
| Race | Black |
| Married, Widowed, or Single | single |
| Date of Birth | 5/3/1891 |
| Age (year, month, days) | 22 |
| Occupation or Employer | laborer/ general housework |
| Birthplace | Md |
| Father's Name | George Bishop |
| Father's Birthplace | md |
| Mother's Name | Ann Collick |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Joseph Collick; Stockton, Md |
| Date of Death | 5/3/1913 |
| Cause of Death and Time Attended by Doctor | pulmonary tuberculosis |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | JT Parker; Stockton |
| Burial Place, Date, Undertaker, and Address | Stockton St Paul Cemetery; 5/5/1913; rowley & Purnell; Stockton Md |
| Length of Residence, Where Disease Contracted, Former Residence | Cape Charles City Va |
| 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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