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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