Page (PDF) | 11 |
---|---|
Certificate Number | 5136 |
Name of Deceased | Collins, not named |
Place of Death | Somerset |
Town of Death | Manokin |
Sex | F |
Race | black |
Married, Widowed, or Single | single |
Date of Birth | 5/11/1914 |
Age (year, month, days) | – |
Occupation or Employer | none |
Birthplace | Manokin Md |
Father's Name | George Collins |
Father's Birthplace | Maryland |
Mother's Name | Sabra Maddox |
Mother's Birthplace | Maryland |
Informant (Relationship and Address) | Sabra Maddox; Manokin Md |
Date of Death | 5/11/1914 |
Cause of Death and Time Attended by Doctor | premature birth |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | GE Dickinson; Upper Fairmount |
Burial Place, Date, Undertaker, and Address | Curtis Chapel Church Yd; 5/12/1914; Samuel Collins; Westover, 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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