Page (PDF) | 15 |
---|---|
Certificate Number | 14053 |
Name of Deceased | Collins, George |
Place of Death | Worcester |
Town of Death | Stockton |
Sex | M |
Race | negro |
Married, Widowed, or Single | single |
Date of Birth | 11/14/1898 |
Age (year, month, days) | 16 yrs 1 mos 2 ds |
Occupation or Employer | farm laborer |
Birthplace | Worcester |
Father's Name | John Collins |
Father's Birthplace | Worcester |
Mother's Name | Eva Jester |
Mother's Birthplace | Worcester |
Informant (Relationship and Address) | Jace Collins; Stockton Md |
Date of Death | 12/16/1914 |
Cause of Death and Time Attended by Doctor | tuberuclosis; pulmonary phthisis |
Immediate, Secondary, or Contributory Cause and How Long | – |
Physician and Address | HC Mallory; Greenbackville Va |
Burial Place, Date, Undertaker, and Address | Old St Paul Cemetery; 12/18/1914; Hancock & Smack; Stockton 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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