| Page (PDF) | 5 |
|---|---|
| Certificate Number | 6986 |
| Name of Deceased | Collic, James H |
| Place of Death | Worcester |
| Town of Death | Snow Hill Md |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | - |
| Date of Birth | 12/20/1912 |
| Age (year, month, days) | 4 mos 27 ds |
| Occupation or Employer | - |
| Birthplace | Snow Hill, Md |
| Father's Name | Hastings Collic |
| Father's Birthplace | Girdletree, Md |
| Mother's Name | Eliza Taylor |
| Mother's Birthplace | newark Md |
| Informant (Relationship and Address) | Hastings Collic; Stockton, Md |
| Date of Death | 5/7/1913 |
| Cause of Death and Time Attended by Doctor | effect of leak, - stroke; no physician |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | Paul Jones; Snow Hill |
| Burial Place, Date, Undertaker, and Address | Coolsprings Cemetery; 5/8/1913; William S. Williams; Snow Hill 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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