| Page (PDF) | 11 |
|---|---|
| Certificate Number | 14449 |
| Name of Deceased | Collic, Joshery K |
| Place of Death | Worcester |
| Town of Death | Box Iron Md |
| Sex | M |
| Race | colored |
| Married, Widowed, or Single | single |
| Date of Birth | 1/29/1892 |
| Age (year, month, days) | 21 yrs 8 mos 14 ds |
| Occupation or Employer | laborer |
| Birthplace | near Snow Hill Md |
| Father's Name | Earlie Collic |
| Father's Birthplace | Girdletree Md |
| Mother's Name | Emma C Bishop |
| Mother's Birthplace | Girdletree Md |
| Informant (Relationship and Address) | Earie Collic; Girdletree Md |
| Date of Death | 10/14/1913 |
| Cause of Death and Time Attended by Doctor | peritonitis cause by intestinal perforation; 3 1/2 hours |
| Immediate, Secondary, or Contributory Cause and How Long | typhoid fever |
| Physician and Address | John L Riley; Snow Hill Md |
| Burial Place, Date, Undertaker, and Address | savoy? Springs ME Cemetery; 10/16/1913; 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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