| Page (PDF) | 9 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Collick, Paul T |
| Place of Death | Worcester |
| Town of Death | Stockton |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | S |
| Date of Birth | – |
| Age (year, month, days) | 1 yr 1 mos 10 days |
| Occupation or Employer | - |
| Birthplace | Md |
| Father's Name | Joseph S. Collick |
| Father's Birthplace | Md |
| Mother's Name | Joanna C Ward |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Joseph S Collick, father |
| Date of Death | 9/21/1910 |
| Cause of Death and Time Attended by Doctor | Indigentius, 4 months |
| Immediate, Secondary, or Contributory Cause and How Long | Gastro Exaleritis, 3 weeks |
| Physician and Address | J. D. Dickerson, Stockton |
| Burial Place, Date, Undertaker, and Address | – |
| Length of Residence, Where Disease Contracted, Former Residence | Md |
| 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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